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While cigarette smoking has hit an all-time low, another form of tobacco use is rising in popularity hookah smoking and researchers are concerned there's a new epidemic brewing, especially among young adults

American Journal of Clinical Nutrition , 87(4), 801-809

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We found in current smokers a positive association between smoking pack-years and cigarettes per day with SBP in both genders, but not with DBP, and only for cigarettes per day with hypertension prevalence in both men and women

It's much safer if you do so