The dried center of the betel nut, called "Tahb Mahk (tahb also means liver) is used, and the dried outer shell "Pluek Mahk" is also used--usually a person uses one or the other, based on personal preference
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When nicotine enters the body via smoking, vaping, or nicotine replacement therapies, it is metabolised by the liver into a primary byproduct called Cotinine
Thus, it comes as no surprise that Leafly a U.S