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Long-term hookah use can have a big impact on your heart and can raise your: Resting heart rate Blood pressure Risk for heart attack and stoke Chance for coronary artery disease Risk of chronic obstructive pulmonary disease (COPD) One study found that about 10 long-term hookah smokers out of 100 had COPD

Pinkston R, Zaman H, Hossain E, Penn AL, Nol A

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Smoking and drinking alcohol together raises the risk of esophageal cancer much higher than use of either alone

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