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(taken from Why do mothers smoke during pregnancy

Annual screening is recommended for sexually active women younger than 25 and for older women at increased risk of infection

There are tobacco-free and herbal shisha blends for hookah, but since the water pipe itself includes charcoal, you would still be inhaling carcinogens

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Long-term adverse effects may include addiction, decreased mental ability in those who started regular use as adolescents, [7] heart disease, chronic coughing, susceptibility to respiratory infections, and cannabinoid hyperemesis syndrome