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Author Info Dr Nagi Safa Dr Nagi Safa is a Metabolic and Bariatric Surgeon (Weight-Loss Surgeon) at the Advanced BMI in Lebanon and at the Sacred Heart Hospital of Montreal, and holds an academic appointment at the University of Montreal

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Although some states of India have banned gutkha consumption due to its carcinogenic properties and other hazardous effects, it is still actively sold on the black market [2]

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