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A typical betel nut chew includes lime powder, piper leaf, also known as pupulu, and some form of tobacco -sometimes a piece of a cigarette
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Many users of spit tobacco may not notice any immediate health problem as in its early stages, oral cancer symptoms are not outwardly noticeable
Chewing tobacco is made by air-curing or fire-cured high-quality tobacco leaves, processing them to preserve structural flexibility, cutting them into loose shreds, and soaking the fine-cuts in sweet liquid casing formulas typically made of dark molasses, sugars, and natural fruit extracts
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