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From my experience, I know that this is a very real problem, which effects many families and children, including my own

Previous reports of significant elevation or reduction in the relative abundance of common oral bacteria including Streptococcus in betel nut chewers are consistent with our study ( Streptococcus genera in smokeless tobacco consumers observed in this study can be explained by the antibacterial properties of betel nut/tobacco components

This means your oxygen levels can increase too

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Both are valid concerns, since cigarettes were our go-to answer for both issues when we smoked

These are two separate questions in Islamic law, governed by different frameworks