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Harsh Dhar, consultant, head & neck, skull base oncosurgery at Manipal Hospital, warned against misconception that areca nut and smokeless tobacco were safer alternatives, stating that both are classified as Class A carcinogens

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Dr Miller added that people experiencing any or all of the symptoms described by Swire should be encouraged to visit an audiologist to have their hearing tested above the range that is used in most conventional hearing tests, which test in the 125-8,000 Hz range