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tobacco use questionnaire Tobacco market research paper Questionnaire Tobacco use and its impact
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#10 The natural fermentation (aging) of tobacco is the result of the leaf's intrinsic enzymes, rather than from bacteria

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PMC 4359356

Slaked lime (calcium hydroxide) itself is not a direct carcinogen, but its caustic, alkaline properties corrode the mouth lining, facilitating the rapid absorption of carcinogens from tobacco and betel nut into oral cells
