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And these pouches come in varying strengths with some providing far more nicotine than cigarettes or vapes

It accelerates liver damage, hastening the progression to cirrhosis and liver failure

More than half the participants answered the composition of SLTs correctly, while at the same time a surprising 21% believed it contained only nicotine and 16.5% thought SLTs had tobacco only

This might be explained by the abstinence of hookah smoking for 12 h prior to testing, thereby reducing nicotine levels drastically in the system, which would impact neuro-hormonal regulation (reduced cortisol and sympathetic activity)

Picture of body identifying 12 tobacco-related cancers