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Thats a lot of letters

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If TPK persists for at least 4-6 weeks even on cessation of the habit (smokeless tobacco), the lesion could well be leukoplakia

Centers for Disease Control and Prevention (US), Atlanta (GA) Palipudi K, Rizwan SA, Sinha DN, Andes LJ, Amarchand R, Krishnan A, Asma S (2014) Prevalence and sociodemographic determinants of tobacco use in four countries of the World Health Organization: South-East Asia region: findings from the global adult tobacco survey