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Similarly, the range of congenital disabilities for pregnant women exposed to second-hand smoke was about 13% as compared to 10-34% for the smoker mums-to-be

Thus, prolonged or heavy use of hookah may induce risk of tumor development, especially in oral cavity and esophagus, which further argues against the notion that hookah has no/less harm if not inhaled kept in mouth. Indeed, incidence of benign lesions of the vocal cords was linked to the presence of cysts in 4.8% of hookah users, which was similar to cigarette smokers [134]

What is interesting is that women may find it harder than men to quit

Choosing Quality Rolling Tobacco The quality of your tobacco plays a major role in how easy it is to roll