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Clinical Practice Guideline

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It is reported that humans completely excrete nicotine from the body within 16 hours after ingestion/inhalation

With tobacco being the main source of smoke in both hookah and cigarettes, hookah users are exposed to many of the same toxic compounds/by-products as cigarette users but at dramatically higher levels, which might in fact produce worsened health effects in users [23]

(For a thorough comparison of emissions from heated tobacco products, e-cigarettes, and conventional cigarettes, see this recent review.) But even if heated tobacco compares favorably in a one-to-one comparison to conventional cigarettes, how people use it matters too

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