tobacco cleansing ritual Native American smudging is a sacred ceremony practiced by many Indigenous communities to cleanse, purify, and connect spiritually with the world. πΏ Through the gentle burning of sacred plants like sage, cedar White Sage: Ancient Herb, Modern
Description
Central scotoma usually indicates damage to the macular retinal ganglion cells or to the papillomacular nerve fibers at or within the optic nerve

Smoking is well known for causing lung cancer but another risk factor is reduced sleep 6
The short answer: No

This study provides oral microbiome identification related to betel quid chewing and its significance in oral alterations