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Young adults who smoked water pipes in hookah bars had elevated levels of nicotine, cotinine, tobacco-related cancer-causing agents, and volatile organic compounds (VOC) in their urine, and this may increase their risk for cancer and other chronic diseases, according to a study published in Cancer Epidemiology , Biomarkers & Prevention , a journal of the American Association for Cancer Research

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Bad signs include trails of dust falling from the cigar, and, of course, finding living or dead beetles

Both the Navy and Air Force have approved them for jet engine use

Policies change frequently, and crew interpretation varies