The International Agency for Research on Cancer (IARC) Monographs programme classied smokeless tobacco, betel quid with tobacco, betel quid without tobacco, and areca nut as group 1 carcinogens due to the strength of evidence that they cause cancer of the oral cavity.4 In addition, volume 19 of the IARC handbook on oral cancer prevention concluded that cessation of use of areca nut products (including betel quid), with or without tobacco, reduces the risk of oral cancer.5 The working group of this handbook called for better sur- veillance of oral cancer risk factors such as smokeless tobacco, areca nut, tobacco smoking, and alcohol con- sumption, and an assessment of the burden of oral cancer attributable to consumption of smokeless tobacco or areca nut products.5 Previous global studies estimated that oral cancers attributed to smokeless Articles 2 www.thelancet.com/oncology Published online October 8, 2024 Tehran, Iran (N Rezaei PhD)

Day 1 of 75 Hard isnt so much the beginning of a program as it is the end of a destructive, underperforming lifestyle that leads to mediocrity and looking at the sky hoping it doesnt fall on you
Recognize that addiction is a real issue If you are currently in recovery, or if your sobriety has only come about as a result of rehab, then you're very familiar with the destructive power of chemical addiction
Recommended sites include Smokefree.gov and the Centers for Disease Control and Prevention (CDC) Tips From Former Smokers guide to How to quit smoking