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A: Scientists are just starting to investigate all the negative impacts associated with the water pipe, but given its similarity to cigarette smoke, it is likely that many tobacco-related diseases will be linked to water pipe use

One large cigar can deliver nicotine levels comparable to smoking several cigarettes throughout the day

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Hubbly (hookah) Smoking vs Cigarette Smoking Session WHO has found that a water pipe smoking session , which typically lasts between 20 to 80 minutes, may expose the smoker to more smoke (and its harmful effects) over a longer period of time than when smoking a cigarette

European Respiratory Journal