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Furthermore, NNALa metabolite formed after 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) enters the body and a well known carcinogenurinary levels increased markedly after hookah use, indicating the presence of tobacco-specific nitrosamines in hookah smoke [63, 82]

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Since cigarette-style tubes are less prone to accidental breakage, they're an excellent option for top-shelf or more expensive strains