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[23] [24] [25] Indonesia and Malaysia [edit] Bersirih , nyirih , or menginang is a historical Malayonesian tradition of chewing materials such as nut, betel, gambier, tobacco, clove, and limestone

Consider this: Average smoker premium increase: 50%100% higher than non-smokers

They can lead to nicotine addiction and increase the risk of cancers in the mouth, esophagus, oral cavity, and pancreas

**Upon a fourth conviction in any 24-month period, the department may, after the opportunity for a hearing, suspend the license for up to 60 days.

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