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BMC Med (2022) 20(1):153

However, because pipe smoke is not deeply inhaled into the lungs, the risks shift from severe lung damage toward oral and throat health risks

The cost advantages stem from multiple factors: Lower direct cost per smoke (70-80% less than cigarettes) More efficient consumption patterns Reduced associated costs (cleaning, odour management) Time efficiency benefits While Dokha requires an initial investment in equipment and represents a different smoking experience than cigarettes, the financial benefits make it an increasingly attractive option for cost-conscious UK tobacco users

doi: 10.1164/rccm.201811-2087OC 105