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[16] [17] [18] "Quid chewing has claimed to produce a sense of well being, euphoria, warm sensations of the body, sweating, salivation, palpitation and heightened alertness, tolerance to hunger, and increased capacity and stamina to work." [19] Health effects [edit] Gutka is highly addictive, represents a major health risk, has no safe level use and is not a safe substitute for smoking

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Heavy smokers, patients with diabetes, those taking certain medications, or individuals with compromised immune systems may require extended cessation periods