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"Even to this day, theres still certain things I cant pronounce because, you know, my tongue doesnt actually move like it did before," Smith says

While there are readily available alcohol and tobacco cessation intervention programs for those who want to quit drinking and smoking, there is no similar program specifically for those who want to stop betel nut chewing, which is where the Guam and Saipan study comes in

But for those in the moment, its less about the science and more about that comforting mix of bitter and sweet, smoky and smooth

Smoking tobacco However, smoking has additional risks

Remove the mixture from the heat, and whisk in the egg yolk and vanilla