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If I could figure out how to tame the mechanics this would be something I could find myself reaching for, particularly when I was smoking around company

Thus, prolonged or heavy use of hookah may induce risk of tumor development, especially in oral cavity and esophagus, which further argues against the notion that hookah has no/less harm if not inhaled kept in mouth. Indeed, incidence of benign lesions of the vocal cords was linked to the presence of cysts in 4.8% of hookah users, which was similar to cigarette smokers [134]

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Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead L F, Hajek P