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That chapter is closed without any chances of being opened back up

DHHS Publication No

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8 Reducing harm There are ways you can reduce the risk of harm when using betel nut: avoid mixing betel nut with tobacco avoid use if you have an existing heart problem practice good dental health and brush regularly people with an existing mental health concern - should avoid use avoid using betel nut late at night avoid useing during pregnancy have regular dental health checks maintain good nutrition and drink water and healthy foods avoid regular long term use

Reimel BA, Zanocco K, Russo M, Zarnegar R, Clark OH, Allendorf JD, Chabot JA, Duh QY, Lee JA, Sturgeon C