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With a tobacco this strong, it is best to leave it in broken chunk form without further rubbing out

As for ammonia, which is a strong respiratory irritant, its levels should be measured as part of the assessment of the hookah toxicant profile, and this could be achieved using a simple colorimetric method as was recently described for determining ammonia levels in tobacco fillers and sidestream smoke in different tobacco brands [93]

These outcomes could be explained by the continuous stress placed on the cardiovascular system as result of exposure to high amounts of CO [191]

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