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[27] Myanmar [edit] Kwun-ya (Myanmar, formerly Burma, where the most common configuration for chewing is a betel vine leaf ( Piper betel ), areca nut (from Areca catechu ), slaked lime (calcium hydroxide) and some spices, although many betel chewers also use tobacco

(Snus, a Scandinavian smokeless tobacco product, is illegal to sell in the UK.) These products contain numerous harmful substances, including nicotine, tobacco-specific nitrosamines, and heavy metals , which are absorbed through the oral mucosa and enter the bloodstream

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This can result in bacteria growing out of control causing cavities