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That's because hookah also has burning charcoal, which has harmful chemicals such as: Carbon monoxide Heavy metals Sweeteners and flavorings Other toxic chemicals like tar The [harmful chemicals] can cause inflammation and damage the small cells in your lungs, says Folkenroth

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The agency has so far refused to grant Swedish Matchs Snus products, a form of smokeless tobacco proven to be vastly safer than cigarettes, modified risk status which would allow them to be marketed as a safer alternative to cigarettes

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