health risks of using tobacco Effects Cigarette Smoking Tobacco health risks: MedlinePlus Medical

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Many epidemiological studies have revealed that frequent use of betel nut is associated with adverse health effects such as oral leukoplakia , white patches that develop in the mouth as a reaction to chronic irritation, and submucous fibrosis , a chronic debilitating disease of the oral cavity characterized by inflammation and the formation of scar tissue in the mouth

Counseling patients to avoid alcohol is a good strategy because drinking lowers inhibitions, thereby reducing the chance of successful smoking cessation

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