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Consequently, there is a potential for competitive inhibition of androgen glucuronidation by nicotine and its metabolites, leading to an increase in androgen levels 14,16,30,31,32
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[ 32 ] College students have particularly high rates of use, and attending college has been found to be positively associated with hookah use, as well as with dual cigarette and hookah use
Medication therapy: Prescription of non-nicotine medications, when appropriate, to aid in quitting
