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Several studies of physicians knowledge about the clinical effects of nicotine find misperceptions are frustratingly common

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In addition to containing varying levels of the addictive substance nicotine, they also contain other cancer-causing chemicals, such as formaldehyde, and as our study shows, flavoring chemicals that can cause lung damage, said study co-author David Christiani, Elkan Blout Professor of Environmental Genetics

Exposure to Harmful Chemicals and Environments The heat source (charcoal or electric heater), length of the hose, the composition of the tobacco used, and the time spent using hookah can all affect the chemical mixture a user is exposed to