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IARC Monographs on the Evaluation of Carcinogenic Risks to Humans VOLUME 85 Betel-quid and Areca-nut Chewing and Some Areca-nut-derived Nitrosamines (2004)

doi: 10.3389/fendo.2019.00373 209 AminASTanHLWildeAAM

Some degradation occurs over many years, but the effect is minimal compared to flavor changes

The only additional diagnosis that had an effect was conduct disorder, which tripled the risk when combined with ADHD

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