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Betel chewing is a part of many asian cultures, and preparation techniques vary from region to region. The nut is either slivered or grated, often flavored with spices according to local tradition and usually wrapped in a betel leaf (note: betel leaf comes from the betel pepper[?] plant, piper betle, which is not botanically related to the betel palm, areca catechu), along with some lime (the chemical, not the fruit) to better extract the alcaloids. After typically about 20 minutes of chewing, the fibrous residue which remains of the nut is spat on the street, where it remains visible due to its characteristic bright red color. Trails of bright red sputum lining the sidewalks are a sure indication of the popularity of betel chewing in an area.
Regular betel chewing causes the teeth and gums to be stained red; however, it may also reduce cavities. While betel chewing does appear to be somewhat habit forming, regular long-term use has not been linked to any serious health problems.
Powdered betel nut is a constituent in many tooth powders. Other medicinal uses include the removal of tapeworms and other intestinal parasites by swallowing a few tsp of powdered betel nut, or by taking tablets containing the extracted alcaloids.
In Taiwan, areca nut shops typically have large picture windows behind which a young attractive woman who is usually not wearing very much is wrapping areca nuts. In India, betel chewing is as popular as tobacco smoking once was in the United States.
In the United States, betel nut is not a controlled or specially taxed substance and may be found in most any asian grocery store.
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