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Thus, while pipe smoking is often considered less harmful to the respiratory system, it should never be classified as "healthy." Oral Cavity & Throat Cancer Risk Cigarettes: Smoking more than one pack (20 cigarettes) per day increases the risk of oral/oropharyngeal cancer by at least fivefold compared to non-smokers, and in some cases, up to tenfold

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For this reason, the tobacco remaining after the typical Hookah session is crisp on the top and progressively less crisp with greater moisture towards the bottom of the Hookah tobacco bowl