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This relationship could be explained by the harmful effects of tobacco smoke and consequently a decrease in the number and changes in the structure of fungiform papillae on the tongues surface 3

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Additionally, emerging insights from nutri-epigenomics highlight how dietary factors influence DNA/RNA methylation via one-carbon metabolism, offering novel avenues for disease management 56

So while the health risks are real across all tobacco, the governments decision might be less about promoting bidis and more about cushioning the socio-economic impact on rural communities who depend on this sector

The tobacco leaves were finely cut and smoked in pipes