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The large sample in the Annual Population Survey (APS) also allows fairly confident estimates of local smoking rates

the circumstances of its use and expectations of effects

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"Short-Term Exposure to Waterpipe/Hookah Smoke Triggers a Hyperactive Platelet Activation State and Increases the Risk of Thrombogenesis"

I enjoy pipe tobacco from time to time and this captures the scent of real tobacco very well

Iranians collectively puff on 60 billion cigarettes a year, but the hookah, or qalyoon as it's known locally, has no shortage of fans in the country