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We present the findings on smoking and type 2 diabetes as an example of a 3-star risk association

To summarise: WTS is associated with the delivery of physiologically active doses of the dependence producing drug nicotine, some waterpipe tobacco smokers engage in nicotine self-administration via waterpipe on a daily basis (sometimes multiple times/day32), and the literature documents that waterpipe tobacco smokers experience withdrawal, alter their behaviour in order to access a waterpipe and have difficulty quitting, even when motivated to do so

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It feels authentic, like a true cultural relic of the tobacco era repurposed for modern urban style

Metabolism is the energy that's needed for our body to function from breathing, to running, to exercise, everything, says Marcio Griebeler, MD, an endocrinologist and obesity specialist with the Cleveland Clinic's endocrinology and metabolism institute in Avon, Ohio

Recent quitters are previous everyday or some day smokers who have quit smoking completely within the past 3 years