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They didn't want to piss the Medical Association off, but on some level I think they felt as though, Well, you'd better deal with us because you don't know what those lunatics are going to do.So it gave them clout with the Medical Association that they might not have otherwise had

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Nicotine Dopamine Release: When you consume gutkha, nicotine reaches the brain within seconds and releases dopamine (reward chemical)

Regular use can lead to physical dependency, cognitive impairment, and a range of psychological issues, making it challenging to quit without professional support