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[3] [11] [18] Acute effects [edit] As of 2019uncontrolled study among male UAE medical university students assessed the following: [35] Increased systolic blood pressure Decreased diastolic blood pressure Increased heart rate and respiration Chronic effects [edit] As dokha consists of tobacco and other plant material, health officials suspect the effects from prolonged use are similar or identical to that of cigarettes and other tobacco products, but as of 2020 [11] Anecdotal evidence from chronic users suggests that long-term use may cause them to feel out of breath after strenuous activity, and they report difficulty quitting

There is enough sweetness in the Cherry to keep the lemon notes from being too acidic

Int J Androl 30:137143

Where applicable, we propose that certain products have an instruction leaflet to inform users of any appropriate warnings and the adverse effects of nicotine