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The present paper reviews the sparse and scattered scientific evidence available about hookah EMSS and the corresponding inferences that can be drawn from the composition of cigarette EMSS

85% (289/339) reported constitutional symptoms (including weight loss, fevers, chills) and 77% (262/339) had gastrointestinal symptoms (including nausea, vomiting, diarrhea, abdominal pain) [41]

These reports have led investigators to agree with Anda et al., who concluded more than a decade ago that depression plays an important role in the dynamics of cigarette smoking

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