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This is why many doctors wont do certain operations on patients unless they stop smoking

The harmful effects of this include a higher risk of miscarriage, premature birth, sudden infant death syndrome, low birth weight and height, respiratory problems and obesity, as well as an association to behavioural problems (e.g

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Arecoline, a component of areca nut, has been shown to induce several pro-carcinogenic changes, including the production of nitrosamines and reactive oxygen species (Moutasim et al., 2011), and increased expression of inflammatory cytokines, including tumor necrosis factor-, interleukin-6, interleukin-8, and interleukin-1- (Chang et al., 2009)