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To ensure uniformity, a standardized definition of one betel quid was established, consisting of two heart-shaped, medium-sized betel leaves (approximately 25 to 40 cm 2 ) accompanied by one packet of areca nut weighing between 5 g and 10 g

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Table 2 Quality and risk of bias assessment of included studies based on methodological criteria Results across studies Among the eleven studies included in this review, only two studies Ebbert et al

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