(No Here's Why) This is the most important distinction on this page, and it's why the question "is smoking paper bad?" doesn't have a simple yes or no answer
Overall, smoking reduces the amount of oxygen in your blood, increases heart rate, raises blood pressure, makes blood stickier and more likely to clot, thickens the walls of the arteries so they are easier to block, and damages the blood vessels in your brain
It is the Bangladeshi 'chewing gum', and usually for chewing, a few slices of the betel nut are wrapped in a betel leaf, almost always with sliced areca nuts and often with calcium hydroxide (slaked lime), and may include cinnamon, clove, cardamom, catechu (khoyer), grated coconut and other spices for extra flavouring
Drivers 4.2.1.2