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The addictive nature of gutka and tobacco is not solely due to nicotine but also to behavioral and psychological factors

For some people, especially those who use birth control pills or who have diabetes, smoking poses an even greater risk, says heart valve expert

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Mini packs are handy for casual smokers or travel-sized convenience but come at a higher per-stick price

Acknowledgment The authors would like to express their sincere gratitude and thanks to Student Research Committee of Isfahan University of Medical Sciences for funding this study, carried out as a research project (No