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The widespread use of smokeless tobacco products, such as gutkha and khaini, combined with poor awareness, delayed diagnosis, and limited access to early screening, has led to an alarming rise in cases

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A total of 5,567 patients were enrolled, of whom 84 (1.5%) experienced recurrence during follow-up

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If this holds, then we can expect nearly 1,000 fewer deaths per year, we could save almost $300 million in health expenses annually, and we could prevent more than 1,000 children each year from picking up cigarette smoking

Also, throughout the tests, heart rate, blood pressure, and levels of cortisol (a key stress hormone) were measured