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There is a growing literature that demonstrates that waterpipe tobacco smoke contains many of the same toxicants as cigarette smoke,50 ,5761 that waterpipe tobacco smokers are exposed to these toxicants6266 and that WTS is associated with disability, disease and death.6769 This literature has been summarised previously25 ,26 ,55 ,70 and the most up-to-date review can be found elsewhere in this issue.71 The purpose of this review is to examine if, like tobacco cigarette smoking, WTS supports nicotine/tobacco dependence

"This is because the lungs are starting to clean themselves out." That spring cleaning, he said, takes about a month

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