On its own, the astringent and scented leaf with anti-bacterial qualities is recommended as a herbal mouth freshener by traditional doctors but, combined with narcotics like betel nut, shell lime and tobacco, it becomes a heady potion and the most obvious reason for its widespread consumption
It can cause or worsen asthma attacks, bronchitis, ear infections, lung damage and respiratory infections
S Tushingham, et al., Hunter-gatherer tobacco smoking: Earliest evidence from the Pacific Northwest coast of North America
Analyses of the National Health and Nutrition Examination Survey (NHANES) have revealed that current e-cigarette users have a significantly higher odds of MASLD compared to nonusers [136]
You may also want to skip the soda because of its high sugar content