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But hookah can cause many of the same health problems as smoking cigarettes, says Jennifer Folkenroth, national senior director of tobacco programs at the American Lung Association in Cincinnati
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Others show up with time: yellowed teeth, shortness of breath, dull skin and wrinkles
The coronavirus pandemic might have been a factor here as it increased tobacco consumption, with 2020 also seeing a rare uptick in cigarette sales in the United States
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