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Cultural and Social Context Tulsi Gutka is consumed by many individuals in India and surrounding countries, where it is often used as a recreational product

This can lead to a higher risk of low birth weight, birth defects, and other complications

Ethics declarations Conflict of interest All authors have declared no conflicts of interest

The interview started with the following instructions: For the time that were on the phone, Id like to ask that you give me your full attention and not do other things that would distract you, like be on a computer or watch TV

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