In Bhutan, the areca nut is called "doma". The soft and moist raw areca nut is very potent. When chewed it can cause palpitation and vasoconstriction. This form is eaten in the lower regions of Bhutan and in North Bengal, where the nut is cut into half and put into a local "paan" leaf with a generous amount of lime. In the rest of Bhutan the raw nut, with the husk on, is fermented such that the husk rots and is easy to extract. The fermented doma has a putrid odour, which can be smelled from miles. Traditionally, this fragrant nut is cut in half and placed on top of a cone made of local betel leaf, which has a dash of lime put into it. "Myth has it that the inhabitants of Bhutan traditionally known as Monyul, the land of Monpas where Buddhism did not reach lived on raw flesh, drank blood, and chewed bones. After the arrival of Guru Rinpoche in the 8th century, he stopped the people from eating flesh and drinking blood and created a substitute which is betel leaf, lime and areca nut. Today, chewing doma has become a custom. Doma is served after meals, during rituals and ceremonies. It is offered to friends and is chewed at work places by all sections of society and has become an essential part of Bhutanese life and culture."