Are there any absurd effects in chewing tobacco and betel nuts together?

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mabs
dentist1@london.com

Sounds like a recipe for cancer of the oral mucosa.

Interestingly, one published study cited West Virginia and Texas as having the highest per capita use of Chewing Tobacco....YET....they have below US average rates of Oral Cancer.

Makes you want to go hmmmm???

Countries with Betel nut use....have high rates of diabetes...probably due to nitrosamine damage to pancreas.

So, just what are betel nuts? Never heard of 'em.