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Alcohol combined with smoking exacerbates dangers. He notes production challenges: Majority of SLT products are made in informal cottage settings complicating taxation and regulation. Shalini Singh, Director, ICMR, laments easy and cheap availability of smokeless tobacco: Lakhs in India plunge into poverty due to costly tobacco-related diseases. Dr

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This can be a result of protein allergens of the flower, fungal sensitization [74], or other components such as mold and pesticides [75]