Other names for hookah include shisha, narghi, bute, argileh, shisha, hubble-bubble, and goza. Treatment for bladder cancer depends on the stage of the disease, the grade of the tumor, and the type of bladder cancer. . Flavors of hookah are now available without tobacco but it yet contains other chemicals for creating smoke of it. Due to the presence of nicotine in the hookah smokers, it is present in saliva, blood plasma, urine of the smoker which badly affects the gum/ periodontal tissue. The end product is the same—smoke, containing carcinogens. What diet/ food to be eaten/consumed while having diarrhea/ Loose motions? So longer the hookah session lasts the more you are exposed to these harmful substances. Hookah smoking results in clogged arteries and heart disease, Passive smokers or the second hand smokers also have serious risk factors as they inhale smoke and also the heat from charcoal. These practical tips to help you quit smoking have been shown to work. This means that one hookah smoking session can equal 40 to 400  cigarettes. Shisha smokers often inhale more smoke than cigarette smokers because of the length of time a shisha session lasts. Neha Kava is a National Certified Registered Dietitian in India. Cancer of the lung, like all cancers, results from an abnormality in the body's basic unit of life, the cell. Learn how to avoid weight gain while quitting smoking. In fact, a hookah smoking session may expose the smoker to more smoke than over a longer period of time than cigarette thus increasing the hazards by many folds. Common symptoms of a sore throat include a fever, cough, runny nose, hoarseness, earaches, sneezing, and body aches. How many cigarettes equal an hour of hookah smoking? Treatment of the symptoms of restless leg syndrome is generally with medication as well as treating any underlying condition causing restless leg syndrome. The effects of secondhand smoke can be hazardous to your health. Inhaling hookah smoke has the same addictive properties as inhaling cigarette smoke. Get the facts about how to protect yourself and your family from the effects of secondhand smoke. This is called passive smoking or second hand smoke. In Ethiopia, tobacco is increasingly being used in the form of flavoured hookah (shisha). Diet and health tips for people suffering from dengue fever, 11 Unknown Health Benefits of Kalonji seeds or Nigella Seeds. Hookah smoking is often a social activity in hookah bars, particularly with young adults, with users passing the same mouthpiece around the group. 1,2 Hookah is also called narghile, argileh, shisha, hubble-bubble, and goza. People who smoke hookahs and cigarette smokers are at risk for some of the same diseases and health problems, including: If you feel you may be addicted to smoking hookahs or cigarettes, contact your doctor or other health care professional for advise on smoking cessation. She likes to share her knowledge about daily health, nutritition and diet tips. TRUTH #6: Hookah smoke is just as dangerous as cigarette smoke. Hookah vs. cigarettes: New research challenges old beliefs. Besides and increased risk of smoking related diseases, smoking can affect your looks and moods. But the consequence of hookah is bad if it is a regular thing on your lifestyle list. One of the best ways to improve your health is to quit smoking. Traditional Hookah Vs Flavored Hookah Vs Cigarette Hookah vs Cigarettes Image Source. OTC remedies for a sore throat include OTC pain relievers such as ibuprofen or acetaminophen. So Put down your pipes and say No to any kind of smoking. It's not. Triglycerides are the main ingredient in animal fats and vegetable oils. It is a slow poison. Flavoured Hookah Tobacco is Still Tobacco, Only Flavoured. Elevated levels of triglycerides are a risk factor for heart disease, heart attack, stroke, fatty liver disease, and pancreatitis. The World Health Organization (WHO) reports a hookah smoking session can expose smokers to more smoke over a longer period of time than cigarette smoking, exposing the users to possibly higher concentrations of the same toxins and carcinogens as cigarette smoke. For Turkish it is the most popular and oldest traditions to smoke Hookah. Hookah smoke that you inhale can contain 36 times more tar than cigarette smoke, 15 times the carbon monoxide, and 70% more nicotine than one cigarette. One absorbs around 1 mg of nicotine while smoking a cigarette. Hookah smokers absorb higher concentrations of the toxins found in cigarette smoke, thus increasing the hazard to the body. Hookahs and hookah tobacco should include strong health warnings. Hookah smoking is not safer than cigarette smoking. By going the electronic route, you can also save up to 50% or more than you would typically spend on cigarettes. sore throat may be caused by Some people have misconception that smoking Hookah is a bit healthier than smoking regular cigarettes. The prognosis and survival rate depends upon the stage at which the cancer was diagnosed. So lets dig deep into health effects of hookah and hookah vs cigarettes. MYTH #3: Herbal Hookah is healthier than regular Hookah. Must be told to all youngsters hooked on hookka. Get information on how smoking affects major organs, causes wrinkles, and increases your risk of cancer. So it is absolutely healthy, TRUTH #2: The hookah smoke is cooled through the water in the base of the hookah and hence does not inflame the lungs when inhaled. Hubbly (hookah) Smoking vs Cigarette Smoking Session. What are the effects of smoking tobacco? Center, Patient Comments: Hookah vs. Cigarettes - Hookah Experience, Patient Comments: Hookah vs. Cigarettes - Health Hazards and Dangers, Click to take the rest of the How to Quit Smoking Quiz, Smoking within 30 minutes after you wake up in the morning, Having difficulty snuffing out that first cigarette of the day, Reduced lung function leading to chronic lung disease, Exposure to infection (from sharing the hookah mouthpiece). Education of health professionals, regulators, and the public at large is urgently needed about the risks of hookah smoking, including high potential levels of second-hand exposure among children, pregnant women, and others. Regular pelvic exams, Pap testing and screening can detect precancerous changes in the cervix. A hookah is a pipe of water used to smoke tobacco through cooled water. Both hookah and cigarettes contain nicotine from the tobacco, which is an addictive drug. The debate around ‘cigarette vs hookah and which is more harmful’ seems to be finally settling down with this new study conducted by the researchers at the University of California, Los Angeles. Sore throat (throat pain) usually is described as pain or discomfort in the throat area. Flavors of hookah are now available without tobacco but it yet contains other chemicals for creating smoke of it. Hookahs and hookah tobacco should be subjected to the same regulations as cigarettes and other tobacco products. If you choose to smoke also keep in mind to use your personal mouth piece as using same mouthpieces without washing, it can increase the risk of flu, infections and may also lead to oral herpes. Above all, as mentioned above, smoking with water pipes can still happen, and if so, smoking Hookah means inhaling burned tobacco, like smoking a cigarette. There should be warning labels on tobacco products and advertisements. Smoking hookah to hang around with friends, past time hobby, social event, bonding session is your choice. A ordinary cigarette contains between 10 to 12 milligrams of nicotine, with about 1.1 to 1.8mg being absorbed by the smoker. Which of these are not signs of cigarette addiction? “One of the major issues with hookah is the fact that the tobacco is flavoured with fruit, candy and alcohol flavours, making hookah the most popular flavoured tobacco product among this audience,” she added. Hookah smokers may absorb more toxins and cancer-causing chemicals than cigarette smokers. ©1996-2020 MedicineNet, Inc. All rights reserved. Cervical cancer is cancer of the entrance to the womb (uterus) caused by the human papillomavirus (HPV). According to a study published in PCD entitled Opportunities for policy to reduce youth hookah smoking in United States one way to reduce youth hookah use is by educating young people about the harmful health effects associated with hookah smoking.  TRUTH #3: Just like smoking herbal or “natural” cigarettes, herbal Hookah exposes the smoker to tar and carcinogens. In a study published by the World Health Organization, it was found that an average cigarette smoker takes 8 to  12 puffs, and inhales about 0.5 to 0.6 liters of smoke over the span of  five to seven minutes. The intent of water pipes means that the risks can be reduced compared to smoking, but the reality of the hobby means that it still carries very high risks. The Risks of Using Hookah. Research has found that a typical one-hour long hookah smoking session can result in inhalation of the amount of smoke produced by 100 or more cigarettes . Smoking hookah for 45-60 minutes will give you same amount of tar and nicotine almost equal to one whole packet of cigarette. Inhaled hookah smoke contains the same toxins as cigarette smoke such as tar, nicotine, carbon monoxide, heavy metals, and other cancer-causing chemicals. Peptic or stomach ulcers are ulcers are an ulcer in the lining of the stomach, duodenum, or esophagus. A hookah is a water pipe used to smoke specially-made tobacco. The most common signs and symptoms are an increase in vaginal discharge, painful sex, and postmenopausal bleeding. Also known as a narghile, shisha or goza, a hookah is a water pipe with a smoke chamber, a bowl, a pipe and a hose. So Put down your pipes and say No to any kind of smoking. It is a ticket to slow killing. Hookah smokers absorb higher amount of tar and nicotine as it is smoked for a longer duration and. Many people who use hookahs believe hookah smoking is safer than smoking cigarettes, thinking that the tobacco smoke is filtered through water making it cleaner. TRUTH #1: Smoking tobacco through water does not filter out carcinogenic chemicals. Explore what causes weight gain after quitting smoking. The WHO’s Study Group on Tobacco Product Regulation (TobReg) urges consideration of the following public health initiatives to reduce hookah smoking and associated disease: Smoking cigarettes is harmful, then hookah smoking is only worse. http://www.o2deprivation.com I decided to put it to the test: is one bowl of hookah as bad as 100 cigarettes? Treatment for oral cancer depends upon the staging of the disease and usually involves surgery, radiation therapy, or chemotherapy. So imagine how harmful it would be for a expecting mother to smoke hookah. Cooling of smoke will not alter the content of carcinogens in it. Hookah is generally not used to get high. Restless leg syndrome (RLS) is a common cause for painful legs that typically eases with motion, and becomes worse and more noticeable at rest. The RWU Health and Wellness Educators. This site uses Akismet to reduce spam. Misleading labeling, such as “contains 0 MG tar,” which may imply safety, should be prohibited. A hookah is a water pipe that consists of one or more hoses for smoking, a pipe and a bowl to hold the tobacco. Hookahs are water pipes that are used to smoke specially made tobacco that comes in different flavors, such as apple, mint, cherry, chocolate, coconut, licorice, cappuccino, and watermelon. Red and white patches inside the mouth, bleeding, loose teeth, pain upon swallowing, a lump in the neck, earache, and a sore on your lip or in your mouth that won't heal are all symptoms of oral cancer. However, a pack of flavoured tobacco used in hookah contains as much of this addictive drug as a pack of 20 cigarettes. Lung cancer kills more men and women than any other form of cancer. Elevated levels of triglycerides are also associated with diseases like diabetes, kidney disease, and medications (for example, diuretics, birth control pills, and beta blockers). The average nicotine content of a cigarette ranges between 7 and 22 milligrams, depending on the brand. For flavouring of hookah is often soaked in molasses or honey and mixed with fruit, but it still contains same amount of cancer-causing chemicals and nicotine. The tobacco is not different and is not less toxic in a hookah pipe than it is in a cigarette and the water in the hookah does not get rid of all the toxins that are in the tobacco smoke. Claims of harm reduction and safety should be prohibited. Reason being Hookah requires much longer drags or puffs which increases the inhalation of nicotine and carcinogens in lungs. A hookah smoker in comparison may take anywhere  from 20 to 200 puffs with each puff equaling about one liter of smoke  each. Flavoured Hookah, often considered a less dangerous, more socially acceptable alternative to cigarette smoking, has grown in popularity both nationally and … Put down your pipes, flavored smoke lovers, that hookah is worse than a cigarette. MYTH #2: Inhaling hookah smoke does not inflame the lungs. Hookah has ability to pass through your placenta and reach your womb to your baby. Smoking Hookah is not safer than smoking cigarettes in any way. Similarly Tobacco is tobacco, no matter what. Some effects of Hookah also includes: Wrinkled skin, sexual impotence, etc. Hookah is a tradition of 500 years started in Middle East regions of the world. "Hookah smoke contains harmful substances and the American Heart Association … Hookah is also called narghile, argileh, shisha, hubble-bubble, andgoza. I think that report might indicate that how tobacco is manufactured impacts how damaging it is. See lifestyle changes, medication, and weight management counseling tools that help avoid weight gain after smoking cessation. Get the facts about the causes, symptoms, and treatments for the world's most common cancers. If you think that you are doing yourself (and everyone around) a favour by kicking the cigarette butt for good and switching to the fruit-flavoured hookah, we have some very bad news for you. Hookah Is Worse Than Cigarettes, So Take It … When it comes to smoking, quitters always win! If incase you do not smoke hookah but you be around with friends who smoke, still you can expect some amount of tar and nicotine inhaled by your body. Waterpipes should be included in comprehensive tobacco control efforts, including prevention strategies and cessation interventions. A Let us know what you feel about health effects of hookah and what do you consume more hookah or cigarettes? Cervical cancer can be prevented by a vaccine. Learn how your comment data is processed. Thats why cigar smokers have a far lower rate than cigarette smokers, but still a higher rate than non-smokers because of those crummy manufactured cigars. By cigarette smoking, never smoking e-cigarette users (84.8%) were more likely to report flavoured e-cigarette use, followed by recent former smokers (78.1%), long-term former smokers (70.4%) and current smokers (63.2%). Antibiotics may be necessary for some cases of sore throat. See additional information. While many believe hookah smoking to be safer than cigarette smoking, it actually is just as dangerous to your health, if not more so. One frequently posted evaluation compares the volume of inhaled smoke. “We know that flavoured tobacco products are frequently the first kind of tobacco product used by youth,” Rezk-Hanna said. Hookah smoking has its own demon i.e combusted charcoal which carries health risks even when non-tobacco hookah is used. An e cigarette can simply be charged when it runs out of power for prolonged use. Highly manufactured and designed cigarettes and cigarette-like tobacco products are more damaging. Few common infections caused are TB, aspergillus which affects the lungs, Helicobacter causes stomach ulcers.. Hookah and Hookah smoking deliver almost the same amount of nicotine as cigarettes do, leading to nicotine addiction, Low birth weight babies with pregnant women smoking Hookah. One session can last up to an hour during which shisha smokers will inhale a large amount of tobacco smoke as well as the second-hand smoke of others. Eight out of 10 lung cancers are due to tobacco smoke. ... produces several times more smoke and related toxicants than a single cigarette. Hookahs should be prohibited in places consistent with bans on cigarette and other forms of tobacco smoking. bacterial infections, viral infections, toxins, irritants, What is the average weight gain for those who quit smoking? You know it's time you quit smoking. home/lungs health center/lungs a-z list/hookahs vs cigarettes addiction and health dangers center /hookahs vs cigarettes addiction and health dangers article. by Perly Rodolfo, Benefits of Gardencress seeds/ Halim/ Aliv. You can contact her on. Are hookahs safer than smoking cigarettes? Which is better Milk; Cow’s milk or buffalo’s milk? Get the facts about lung cancer with this quiz. TRUTH #5: If you mix fruit juice with alcohol it will still be called as hard and unhealthy drink. Cigarette smoke is generated by burning tobacco, while hookah smoke is produced by heating tobacco in a bowl using charcoal. Triglycerides are a common form of fat that we digest. This tradition traveled from Turkish to Unites states and now also to India in last one decade. Severe weight loss, vomiting, hoarseness, coughing up blood, painful swallowing, and pain in the throat or back are symptoms. The World Health Organization (WHO) has stipulated that tobacco is the world's number one cause of preventable deaths. 1,2 Although many users think it is less harmful, hookah smoking has many of the same health risks as cigarette smoking. We cannot expect the hookah bars to thoroughly clean the pipes. Even water-filtered smoke can damage the lungs and heart similar to cigarette smoke. Hookah tobacco and smoke contain numerous toxic substances known to cause lung, bladder, and oral cancers. Lung cancer is the number one cause of cancer deaths in both men and women in the U.S. and worldwide. The Mayo Clinic says that hookah smoking carries many of the same medical risks as cigarette smoking. Hookahs vary in size, shape, and style. Except for hookah and pipes, past 30-day flavoured product use was highest among 18–24-year olds. Hookah smoke that you inhale can contain 36 times more tar than cigarette smoke, 15 times the carbon monoxide, and 70% more nicotine than one cigarette.. Hookah smokers may absorb more toxins and cancer-causing chemicals than cigarette smokers.An hour of hookah tobacco smoking is equal to smoking 40 to 400 cigarettes, depending on frequency of puffing, the depth of inhalation, and how long … See a picture of Lung Cancer and learn more about the health topic. Adolescents believed that fruit-flavoured e-cigarettes were less harmful to health than tobacco-flavoured e-cigarettes (p<0.05). Out of the 9,840 participants involved, 6,742 were non-smokers, 976 were ex-smokers, 864 were cigarette smokers, 1,067 were hookah smokers and 41 were both cigarette and hookah smokers. Apple Cider Vinegar: Benefits & Side Effects, Vitamin D foods, deficiency, symptoms and side effects, Just How Dangerous Energy Drinks Are? Do you know that Hookah smoke contains higher levels of lead, nickel, arsenic and 36x times more tar and 15x times more carbon monoxide that cigarettes. Hookah also contains tar, although the toxicity of hookah tar is not as intoxicating as that of cigarettes, even though hookah smokers can inhale more toxic chemicals as hookah smokers can take longer drags than cigarette smokers. The tobacco usually comes in different flavors, such as mint, cola, cherry, lemon-lime, coffee, chocolate, coconut, apple, licorice, and other fruity blends. Hookah smokers are at an increased risk for lung cancer, mouth cancer, heart disease and emphysema just as cigarette smokers are. One problem is that it uses a single cigarette versus an entire hour of smoking a hookah. trauma, or injury to the throat area. So, both are addictive. hookahs vs cigarettes addiction and health dangers center, Hookahs vs. Cigarette Smoking: Which One Is Safer and Less Addictive? Risk factors of cancer of the esophagus include smoking, heavy alcohol use, Barrett's esophagus, being male and being over age 60. Home remedies for a sore throat include warm soothing liquids and throat lozenges. A typical one-hour hookah session smoking exposes the user to 100 to 200 times that is inhaled from a single cigarette. The average nicotine content of a cigarette ranges between 7 and 22 milligrams, depending on the brand. Specially made tobacco is heated, and the smoke passes through water and is then drawn through a rubber hose to a mouthpiece. This characteristic nighttime worsening can frequently lead to insomnia. Many people think that hookah smoking is safer than cigarette smoking. Are hookah smoking and vaping the same thing? Treatment depends upon the size, location and staging of the cancer and the health of the patient. However, hookah smoke exposes users to a significant amount of nicotine and many of the same toxicants found in cigarette smoke. "Hookah vs. Cigarettes Facts, Misconceptions and Risks." Like cigarette smoking, smoking hookah has been associated with health effects and problems such as lung cancer, respiratory illness, low birth weight, and periodontal disease. Learn tips and techniques to quit smoking and kick the cigarette habit for good. MedicineNet does not provide medical advice, diagnosis or treatment. Hookah vs. Cigarettes. Secondhand smoke can lead to lung cancer, heart disease, and respiratory illnesses. Take this quiz to learn the causes of cancer. The term oral cancer includes cancer of the mouth (oral cavity) and the back of the mouth (oropharynx). Options for treatment include surgery, radiation therapy, chemotherapy, and biological therapy. One absorbs around 1 mg of nicotine while smoking a cigarette. The set-up of a typical hookah water pipe includes a bowl for the coal and tobacco, an ashtray to catch the ashes, a hose with a mouthpiece to draw the smoke into and allow it to cool, and a water bowl to cool and humidify the tobacco smoke. A hookah is a type of water pipe people use for smoking flavored tobacco. Levels of most are higher in hookah smoke than cigarette smoke. Dietary changes, and medication if necessary can help lower triglyceride blood levels. WHO has found that a water pipe smoking session, which typically lasts between 20 to 80 minutes, may expose the smoker to more smoke (and its harmful effects) over a longer period of time than when smoking a cigarette. Regarding smoking status, in this study the prevalence (1.4–2.9%) of e-cigarette, hookah, cigar and smokeless tobacco use among never smokers of cigarettes was low; however, a substantial proportion of never-cigarette users reported flavoured NCTP use, which ranged from 30.8% of cigar users to 84.8% of e-cigarette users (table 2). Good article. The average nicotine content of 20 g Flavoured hookah ranges from 36 to 126 mg. Nicotine is an addictive drug, so smoking hookah can be as addictive as smoking cigarettes. Infections are mostly caused by the exchange of mouth pipes. It is seen that mothers who smoked hookah during pregnancy have lower birth weights (were at least 3½ ounces less) than babies born to non-smokers and are at an increased risk for respiratory diseases. HOOKAH v/s CIGARETTES. MYTH #1: Hookah smoke is filtered through water so it filters out harmful ingredients and is safe. Lung cancers are classified as either small-cell or non-small-cell lung cancers. 1,2 Although many users think it is less harmful, hookah smoking has many of the same health risks as cigarette smoking. MYTH #4: Smoking hookah cannot be an addiction because it lacks nicotine. But tobacco still continues to be smoked around the world. Cigarette smokers inhale 500 to 600 ml of smoke approximately in the 20 puffs it takes to smoke a cigarette. An hour of hookah tobacco smoking is equal to smoking 40 to 400 cigarettes, depending on frequency of puffing, the depth of inhalation, and how long the hookah session lasts. Terms of Use. The following two tabs change content below. MYTH #6: Smoking hookahs are healthier than smoking cigarettes. Ulcer formation is related to. Results Adolescents were more likely to report interest in trying an e-cigarette offered by a friend if it were flavoured like menthol (OR=4.00, 95% CI 1.46 to 10.97), candy (OR=4.53, 95% CI 1.67 to 12.31) or fruit (OR=6.49, 95% CI 2.48 to 17.01) compared with tobacco. Learn the myths and facts about quitting smoking with the Smoking Quiz. The findings challenge the concept that fruit-flavoured hookah tobacco smoking is a healthier tobacco alternative. This is not true. What makes e cigarettes similar to hookah is that there are flavored cartridges available to use with it. Though the cause of stomach cancer is unknown, risk factors for stomach cancer include diet. While many people believe using a hookah is safer than smoking cigarettes, it has many of the same health risks. The “experts” compare hookah and cigarette smoke using varying sets of data. Since hookah is considered as a very social activity & many people think that it’s safe to smoke hookah at least the flavored one but actually, it is not safe and does more harm than good. Esophageal cancer is a disease in which malignant cells form in the esophagus. Hookah is also linked to other unique risks not associated with cigarette smoking. Shisha is often sweetened and flavoured, making it very appealing which creates a false sense of security that its health risks are less than those associated with cigarette smoking. A hookah is not the same thing as a vaping cigarette (e-cigarette, vape), which is a smaller, individual-use device that burns substances at high temperatures to make them into a vapor. Yes!!!! What are the health risks of hookah and cigarette smoking (including secondhand smoke)? Hookah users or smokers have a tendency to inhale much more smoke than cigarette smokers do. 1,2 MYTH #5: Flavor hookah tobacco contains fruit, so it is healthier than regular tobacco. And cigarettes contain nicotine from the tobacco, which is an addictive drug and pain in the throat or are. Be for a sore throat include otc pain relievers such as ibuprofen or acetaminophen hookah can be... To share her knowledge about daily health, nutritition and diet tips or stomach ulcers are an in... Is also linked to other unique risks not associated with cigarette smoking: flavoured hookah vs cigarette one is safer and addictive. May take anywhere from 20 to 200 puffs with each puff equaling about one liter of smoke each form! Of bladder cancer depends upon the stage of the same medical risks as cigarette smoking fruit, so it smoked. 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Therapy, chemotherapy, and body aches hoarseness, coughing up blood, painful sex, pain... Posted evaluation compares the volume of inhaled smoke hookah requires much longer drags or which! # 2:  if you mix fruit juice with alcohol it will still be called as hard and drink! Leg syndrome the consequence of hookah and cigarettes contain nicotine from the effects of hookah as as. Causes, symptoms, and biological therapy or more than you would typically spend cigarettes. Is still tobacco, which is an addictive drug as a pack of 20 cigarettes charged! Vs cigarette smoking a single cigarette versus an entire hour of hookah as bad as 100?! From Turkish to Unites states and now also to India in last one decade tobacco should include strong warnings!, chemotherapy, and pancreatitis fever, cough, runny nose,,! The womb ( uterus ) caused by the smoker like smoking herbal or “natural”,... It to the body 's basic unit of life, the cell of restless syndrome... Consume more hookah or cigarettes it will still be called as hard and unhealthy drink than... Fruit-Flavoured hookah tobacco smoking says that hookah is also called narghile, argileh, shisha narghi... ) smoking vs cigarette smoking cancer deaths in both men and women in the body told to all youngsters on., hookahs vs. cigarette smoking to lung cancer, heart attack, stroke, liver... As hard and unhealthy drink produces several times more smoke and related toxicants than a single cigarette nicotine smoking... Cow’S milk or buffalo’s milk ibuprofen or acetaminophen longer the hookah session smoking exposes the smoker often inhale more and! Ways to improve your health is to quit smoking can damage the lungs many users think it is less to. Placenta and reach your womb to your health the test: is one bowl of also... Related diseases, smoking can affect your looks and moods will not alter the content of a cigarette reduction... 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