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So hookah use is much different from cigarette use, which is more common in nonurban areas." The researchers also found that students who smoked cigarettes and those who used alcohol, marijuana or other illicit substances were more likely to use hookah

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Thus, oxidative stress has been recognized as important factor to impair bone formation in postmenopausal and senile osteoporosis 90 , 91

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Importantly, the cilia function almost as well as in a non-smoker, greatly improving your respiratory health and overall quality of life