Researcher finds key clues about “betel nut” addiction that plagues millions worldwide - UF Health

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Many guests ask me why some Sri Lankan people have a red-stained mouth. The reason is a traditional habit of chewing betel leaves with areca (betel) nut. This practice has been part of our culture for centuries — used in ceremonies, offered to elders, and shared as a sign of respect. When chewed, it naturally turns the mouth red. However, in modern times, frequent betel chewing has become an addiction for many and is not considered healthy. Medical studies have shown that long-term use can lead