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When Massachusetts implemented a ban, there was a notable shift of sales to neighbouring states, resulting in a stable level of consumption but a substantial decline in tobacco tax revenue for the state

It is noteworthy that a recent meta-analysis reported an odds ratio of association between hookah tobacco smoking and heart disease of 1.67 (95% CI = 1.25, 2.24) [154], which supports the notion that hookah is indeed detrimental to the cardiovascular system

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J Clin Hypertens

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If your goal is to reduce your dependence or quit entirely, a gradual taper can make all the difference