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Before the introduction of tobacco to the old world in 1492 by Columbus, pipes were found across all 5 continents, with some dating as early as 500 B.C found in Northern Europe

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Due to this exposure, hookah users are at risk for many of the same diseases associated with cigarette smoking, including lung cancer, respiratory illness, and periodontal disease

Just wanted to air my opinion

This is one of my favorites: May my prayers like the smoke from my pipe rise like incense before you, Lord God King of the universe