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This study only looked at the negative health impact of coronary heart disease and stroke

"There also have been a lot of injuries to the hands and face when people have had explosions as they've been using them," Brownson continued

Its often driven by local market demand, smoker preferences, and pricing strategies

In similar fashion, the examined air quality in hookah lounges ranged from unhealthy to hazardous by the Environmental Protection Agency (EPA), containing high concentrations of particulate matter [94, 96, 97]

They are often your cheapest option, and although they smoke great, you wont get as many years out of it as a briar or meerschaum pipe