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Betel quid chewing can cause stillbirth, premature birth, and low birth weight

After all, how much worse can it get than him lying to his wife

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[127] Central nervous system [edit] Acute effects on CNS [edit] By binding to nicotinic acetylcholine receptors in the brain, nicotine elicits its psychoactive effects and increases the levels of several neurotransmitters in various brain structures acting as a sort of "volume control"