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"The effects of hookah/waterpipe smoking on general health and the cardiovascular system" (PDF)

The long-term effects of inhaling nicotine vapor are unclear, but there is no evidence to date that it causes cancer or heart disease as cigarette smoking does

They basically said, Any additive that can activate this TRPM8 receptor is banned, Jordt explains

For an average user, the real-world answer is closer to 1316 packs, which matches what ex-smokers consistently report after making the switch

The most common substance used was marijuana (34%), followed by intravenous drugs (29%) and heavy alcohol use (intake of two or more drinks per day) (17%)

So when I tested for them I wasnt as nervous as I would normally have been