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[10][11][12] Making the choice to stop using betel nuts can improve your health, well-being, and quality of life

The Lancet editorial notes Public Health England used the guesstimate despite it being based on the opinions of a small group of individuals with no prespecified expertise in tobacco control and an almost total absence of evidence

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The product saw a resurgence in the 60s around the time when the health risks of smoking were becoming better documented and in 2014 the number of smokers fell below the number of people using snus with 20.2% of men using snus in 2022