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Furthermore, NNALa metabolite formed after 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) enters the body and a well known carcinogenurinary levels increased markedly after hookah use, indicating the presence of tobacco-specific nitrosamines in hookah smoke [63, 82]

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The estimates for ischemic heart disease must be interpreted with caution, in particular, as the risk estimates for most countries were extrapolated from a single (albeit multi-country) study (INTERHEART)

So I went back and checked the original lyrics and they were pretty heavy