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Most commonly, the smuggled cigarettes are secreted into lorries by bribing drivers

Users should avoid all forms of chewing tobacco, including gutka, khaini, and other smokeless products.Other steps include monitoring oral health regularly, reporting early symptoms of precancerous lesions, and encouraging friends and family to avoid chewing tobacco

These effects of nicotine have been associated with altered plasticity and refinement of cortical connections, as well as reduced maturation and function of the prefrontal network