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In Tokyo, indoor smoking at coffee shops and cafes used to be the norm

Another, more precise, cross-study concludes that 45 min of waterpipe smoking about doubles the concentration of CO in the blood and triples nicotine exposure compared with one normal cigarette [56]

"[They] did find a link to having this particular behavior and CHD," Pettigrew said, "but other people that moved into the field who didnt have connections to the tobacco industry werent able to replicate the findings." Later studies in Northern Ireland, Japan, and France weren't able to find a conclusive link between psychological factors and CHD