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Salt : Added for flavor, salt contributes to sodium intake, which can affect blood pressure and heart health

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"They really don't have the option of waiting, they wake up and crave cigarettes and they smoke, it's not a behaviour that is modifiable." "We think the early morning smokers are more nicotine dependent and unlikely to change their smoking habits." The papers' authors suggest that this high risk group of individuals would benefit from targeted smoking interventions

This increase in use could be attributed to the perception of fewer negative consequences of hookah smoking compared with cigarette smoking and the social norms regarding its acceptability among this population [55,56,57]