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E-cigarettes, HTPs, and oral nicotine also witnessed small annual increments in their market shares, although their market shares remained small by the end of the study period, with a share of 2.5%, 3.1%, and 0.3% of the overall tobacco market in 2021, respectively (Figure 1 B)

That doesn't mean shisha is harmlessit isn'tbut comparing one session to 100 cigarettes is not what the evidence shows

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So, over time, chronic smokers might see a decrease in their testosterone levels