alcohol tobacco control and Firearms should be a convenience store NOT a Government Agency: Journal Alcohol and Tobacco Control: Spotlight

In a manner comparable to cigarette smoking, short-term hookah use significantly impaired flow-mediated dilation (FMD), which indicates endothelial dysfunction, but hookah was a weaker predictor for high risk profile [177]

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CS, along with other air pollutants and job-related exposures, contains harmful particles that induce mitochondrial dysfunction, oxidative stress and damage to the airway epithelium, which is the primary barrier to inhaled insults, ultimately leading to the release of pro-inflammatory factors [3]

The meta results were mixed