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Hookah smoke is just as toxic as the smoke from cigarettes, and hookah sessions typically last for a much longer period of time than it takes to smoke a cigarette

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5 Recent mechanism studies implicated that the tumor microenvironment, in particular, tumor-associated macrophages (TAMs) constitute approximately 50% of cells in BC bulk, had a pivotal role in tumor progression and metastasis of BC

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It may even be easier for adult smokers to switch from smoking cigarettes to a smoke-free alternative if the alternative contains nicotine