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Instead of smoking, they take in something

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Pandey himself has been eating paan for six decades, thrice a day without any side effects. Health Hazards Shamim Khan, an advocate who spends thrice as much on petrol as on paan on his daily visits to Pandey, chips in: I started eating paan when I was 16 but 20 years later I am fit as a fiddle. Khan was advised against eating paan because it is believed to ruin the voice and stun the mind but his experience, he says, has dispelled the myth. I argue my court cases with a clear mind and even clearer voice. He does not however eat paan at home because, like smoking, it is considered rude to eat paan in front of the elders. Reference to paan (known as tambula in Sanskrit) in Vatsayans Kamasutra, Indias best-known sex guide, has also popularized it as a sensual delight and, precisely because of this reputation, paan is also a prohibited food for some, especially women

She drank it and died quickly, which was a relief to Humphry, who worried that the medications would fail and that he would have to suffocate his wife with a pillow

There are exceptions of course