Even with 12% of the population smoking the negative social connotations associated with smoking means that most people have become accustomed to smoking outside of their property
for hver smagsvariant og nikotinstyrke
Psychopharmacology (Berl) (2017) 234(12):185369
Both the IOM and FDA have cited the necessity of examining the effects of potential MRTPs on the health of individual tobacco users and the population as a whole to determine MRTPs possible contribution to tobacco harm reduction

However, people who have used the drug have reported the following effects: Relaxed, feeling happy Feeling alert Fast heart rate and palpitations High blood pressure Red face and feeling warm Sweating 3 People who use betel nut for the first time, and people who have used it before who take a large amount or a strong batch, may experience the following: Tremors Dizziness Upset stomach, diarrhoea, vomiting Psychosis 4,5 Long-term effects Regular, heavy use of betel nut may eventually cause: Discolouration of teeth and gums, sometimes turning them reddish-brown Mouth ulcers and gum disease Oral cancers or sub mucous fibrosis (a pre-cancer condition) Stomach ulcer Heart disease 7 Needing to use more to get the same effect Dependence on betel nut Financial, work and social problems Tolerance and dependence People who regularly use betel nut can become dependent on the drug