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With respect to carcinogenicity of hookah, it was reported that carcinoembryonic antigen (CEA) levels were higher in hookah smokers, in comparison to non-smokers, yet not as high as in cigarette smokers [133]

It came out because in the 1950s, we saw, Oh my God, this stuff causes lung cancer

Of the states for which the authors had data, the highest rates of outbound smuggling (least amount of net inbound smuggling) occur in New Hampshire (52.4 percent outbound smuggling), Indiana (35.6 percent), Virginia (27.6 percent), and Idaho (25.8 percent)

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