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Pipes pose many of the same health risks as cigarette smoking, including cancers of the oral cavity, throat, lung, and tongue, as well as emphysema and dental issues
As far as the additive-free claims are concerned, the ACS also reminds users that all cigarette smoke contains many cancer-causing agents and toxins, including tar, carbon monoxide, and nicotine
Hookah smoking can have health effects similar to cigarettes
Future studies are required to understand toxic metal-directed oral microbiome dysbiosis in STP users, as the prevalence of toxic metals like Zn, As, and Pb was high in Indian STPs
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