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Updated 12:47 PM EST, Wed November 6, 2013 Say 'betel nut' A man shows off his stained teeth, dyed red from years of chewing betel quids, potent parcels of areca nuts, lime and tobacco wrapped in a betel leaf

A cluster randomized controlled trial (the FRITT study)

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Loose-leaf and plug tobacco generally last 30 to 60 minutes per chew , while dipping tobacco can provide nicotine satisfaction for up to an hour