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The same 2019 literature review shows that heavy hookah smoking is linked with developing conditions like ischemic heart disease or heart failure

COPD is a leading cause of death and disability across the globe and the mortality rate from COPD is still greater among men than women in the world, although there is a rising tendency in mortality among women which is consistent with recent trends in smoking rates for both sexes

We believe these are an effective way of encouraging smokers to switch to less harmful alternatives Helen Whately, Treasury minister, 2022

It's important to follow the recommended dosage and not overdose

1 2 Annals of the New York Academy of Sciences

If you find it awkward to clean the roof area with cloths and water, or if it is time-consuming, see an alternative method below