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However, companies producing Gutkha have found ways to circumvent the ban by producing pan masala (a non-tobacco product containing areca nuts, slaked lime, catechu, and seasonings) under the same brand name, with tobacco provided separately in a packet for free, allowing users to prepare their own Gutkha thus known as two-packet form of Gutkha or twin-packet Gutkha, states a research report Unsuccessful ban on Gutkha and need for tobacco control in India published in The Lancet

However, people with certain underlying medical conditions may experience more frequent and severe cases of sinusitis

But last year FDA Commissioner Scott Gottlieb said he would delay the deadline until 2022

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