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It indicates any type of mixture or quid that includes betel leaf.[7] Betel quid may or may not contain tobacco.[5,34] That means betel quid is mixture of substances chewed along with betel leaf [Figure 3].[7] Paan has various forms and flavors.[34] They include: Tobacco paan (tambaku paan)- Betel leaf filled with powdered tobacco with spices Areca nut paan (paan supari, paan masala, or sada paan) -Betel leaf filled with a mixture of coarsely ground or chopped areca nuts and other spices [Figure 10] Sweet paan (methapaan)-Betel leaf with neither tobacco nor areca nuts, the filling is primarily coconut, fruit preserves

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Gastroenterology 121 : 350357 Richardson CE et al

Cross-border purchases and illicit trade result in significant tax losses for the Dutch government