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This implies that ENDS are substitutes for cigarettes

14 conducted a study in which female C57BL/6 mice were exposed to e-cigarette vapor containing 24 mg/mL nicotine for four weeks before being subjected to an abdominal infection with Pseudomonas aeruginosa

Even after it has been passed through water, hookah smoke exposes you to many of the same chemicals as cigarette smoke including carbon monoxide, toxic metals, and other cancer-causing chemicals

This can lead to muscle weakness, sensory changes like numbness and tingling and impairments in bodily functions

They are typically made of paper and can be easily slipped into a pocket or bag, making them a favorite for many smokers