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Toxic compounds, such as heavy metals, carbonyls, flavoring chemicals, and reactive oxygen species (ROS), have been detected in e-cig aerosols in concentrations that can adversely affect oral health (Figure 1)

Also this whole article ignores the fact that there are a lot of people who smoke 2 packs of cigarettes in a day (40 cigarettes), while it is very rare for someone to have more than 2 or 3 hookah sessions EVERY DAY

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Blood was only seen afterwards

This produces a different profile of particles and chemicals, including tar, carbon monoxide, and other volatile compounds