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The spit from chewing betel nuts, which also results in red stains, is often regarded as unhygienic and an eyesore in public facilities in certain countries

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In addition, it is a leading contributor to conditions such as lung, esophageal, and pancreatic cancers, cardiovascular disease, chronic respiratory diseases, and diabetes.1 Smoking cessation yields both immediate and long-term health benefits, with greater gains observed when cessation is achieved at a younger age.2 In Korea, the socioeconomic cost of smoking in 2019 was estimated to exceed 12 trillion KRW,3 underscoring the public health and economic burden of tobacco use