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Conclusion three The naturally occurring nicotine in Hookah Tobacco smoke is addictive: The fact is that most cigarette smokers are addicted to their habit, whereas the rituals associated with using a Hookah make it far less likely that the typical Hookah user is addicted to Hookah smoke, which means that they are not consuming the smoke at the same frequency as a cigarette smoker

They are about 3.25 inches long and actually puff smoke when blown into

This can lead to delays in achieving your desired results and may necessitate additional corrective measures

An accompanying editorial [2] by Gabriela Ferreira and Michael Steinberg from the Rutgers Robert Wood Johnson Medical School in New Brunswick, New Jersey, says the results call into question whether clinicians should encourage the practice of gradual reduction before a quit date in smokers who are ready to quit, including those who prefer reduction as a treatment strategy