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Huang LL, Baker HM, Meernik C, Ranney LM, Richardson A, Goldstein AO

Second, that the increased volume of gas in Hookah smoke which contains greater nicotine, tar, and carbon monoxide (CO), is more harmful than the compounds present in the gas produced by one cigarette

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So, there has to be some back-story to this one, some vital piece of information, but for now, the "get-it-on-the-screen-any-way-you-can" theory fits Occam's razor

Multivariable, multilevel discrete-time hazard models indicated that baseline e-cigaretteever use was associated with subsequent transition to combustible tobacco cigarette ever smoking (adjusted OR = 1.36