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In addition to lungs, nicotine has profound systemic effects on many organs such as kidneys, heart, liver, and gastrointestinal tract, mediated through damage to epithelial, endothelial, and fibroblast cells [84]

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Hookah is also called: Waterpipe, shisha, narghile, argileh, hubble-bubble, goza Hookah smoking involves using a water pipe or shisha to pass tobacco smoke through water or a distilled alcoholic beverage, such as vodka, before it is inhaled

This happens when the lungs are trying to cover damaged tissue or become inflamed due to conditions like COPD

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