The obvious answer is the local diet, like smoked meats or betel nuts, but in our lab, sequencing data whispers a more complex story. We are finding distinct genetic signatures in patients from these regions, suggesting a deep-rooted susceptibility interacting with those very dietary habits. My own work makes me believe it is not *just* the 'what', but the 'who' and the 'how long'. This truth visits me at my desk, staring at chromatograms from a Jorhat family, thinking how their particular *bhul* in a single gene might explain what decades of *tamul* could not.
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