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In a study in Harm Reduction Journal, Carl Phillips stated, " It has long been known that while no nicotine product is completely harmless, harm reduction products pose only about 1% the risk from smoking and this difference is so great that for the average smoker, using a smokeless product for the rest of his life poses about the same risk as 30 days of continuing to smoke." Brad Rodu mentioned in an article in Nordic Reach, "

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If you smoke, the suction could draw the blood clot out, or prevent it from forming

The smoke by volume is much greater with a hookah than a typical cigarette

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In clinical studies in the SCZ, patients with DNFE are particularly advantageous because the effects of confounding factors, including medication efficacy, duration of illness, and physical comorbidity, can be minimized 24
