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In vitro effects of waterpipe smoke condensate on endothelial cell function: a potential risk factor for vascular disease

It increases your heart rate and releases dopamine, the feel-good chemical

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Smoking induces insulin resistance a potential link with the insulin resistance syndrome

Unless you want to be a dual-user (someone who vapes and smokes) or use multiple forms of nicotine replacement together, enjoying the flavour is likely to bridge the gap between the reduced satisfaction from a lesser nicotine hit when vaping