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Hookah is a uniquely social activity that can often be seen at celebratory events and special occasions, where family members and friends smoke hookah to socialize and unwind

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There is no proof that any smokeless tobacco products help smokers quit smoking

10.1038/nrgastro.2016.85 [DOI] [PubMed] [Google Scholar] 70.Miele L, Valenza V, La Torre G, Montalto M, Cammarota G, Ricci R, et al

They use a nicotine extract (either synthetic or tobacco-derived) combined with fillers, stabilizers, and flavor agents

The perpetual cloud of smoke that surrounds the tobacco users tends to lower the BH4 levels