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Smoking significantly exacerbates this risk, with recent evidence showing that cigarette smoking is associated with a 22% increased risk of CVD events in MASLD patients compared to non-smokers (aHR 1.22, 95% CI 1.151.30) [71]

The shisha tobacco is moist and finely cut, so it is generally easy to pack compared to many other shisha brands, especially if you are still learning the setup

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A subsequent analysis by the FDA also warned there were "significant analytical issues" with the study that made it difficult to compare the levels of harmful and potentially harmful compounds from heated tobacco to those from cigarettes