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PMID 22972085

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In June 2025, the Primary Health Care Corporation (PHCC) issued statements strongly warning against the health risks associated with the use of smokeless tobacco, particularly sweika , a substance mistakenly believed by many to be less harmful than smoking

The above intervals were selected to approximate 12, 24, and 48 months of clinical usage 26

What we didnt realise at the time, and wouldnt for another decade, until our first trip to Thailand, when we finally got to eat miang kham again, was that it was actually a Northern Thai street food snack of Mon origin