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Since hookah and tobacco cigarettes contain many of the same substances and can pose similar cardiovascular risks, smoking hookah in combination with estrogen contraceptives may have the same risks as smoking cigarettes

[13] [14] In the 1970s, Kool also marketed their cigarettes by linking the taste of menthol to outdoor scenes portraying water or snow

Informed literature published by Oxford University Press suggests that although the form of the toxins may vary, they do not allow the cilia hairs in the lungs to rejuvenate as long as irritants are still being exposed to the lung tissue

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