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The patient was encouraged to maintain the medical therapy, as well as the measures of smoking, alcohol, tea and coffee avoidance, and was reassessed again after 5 weeks of treatment, when it was possible to notice a normal appearance of the tongue, with no longer a black and hairy appearance (Figure 3)

They used to introduce tobacco in marriage rituals and later it became an addiction

[8] After China became a Communist state in 1949, the spittoon became much more prevalent: spittoons were placed at every conceivable public place, and were commonplace in homes as well

Nicotine in smokeless tobacco is absorbed ore slowly, at higher amounts, and stays in the blood system longer than smoking a cigarette