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[ 20 ] However, this could be met with a lot of industry pushback since the market is heavily dominated by flavored products [ 22 ] Require health warning signage at hookah establishments [1 , 16 , 18 , 34 ] Include on signage that hookah tobacco has nicotine, is addictive, and has harms associated with use In addition to signage, warnings can and should be included on establishment menus as well as on the hookahs and hookah accessories provided to patrons This policy would reach target audiences at the point-of-consumption, combat misconceptions and misinformation about the harms of hookah use, and reduce the risk of health consequences [ 1 ] Youth cite a lack in health warnings as a reason they believe hookah to be safer than other tobacco products

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I was surprised that results were still significant when we compared the nonage-matched groups because that includes younger patients who presumably have had less lifetime exposure to smoke, he said

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