which has more nicotine vapes or cigarettes How Big Tobacco is Hooking Gen Z Vaping | Pros, Cons, Debate,

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Long-term hookah use can have a big impact on your heart and can raise your: Resting heart rate Blood pressure Risk for heart attack and stoke Chance for coronary artery disease Risk of chronic obstructive pulmonary disease (COPD) One study found that about 10 long-term hookah smokers out of 100 had COPD

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doi: 10.1136/tc-2024-059219 Heated Tobacco Products, Tobacco Tactics, updated 13 August 2025, accessed 28 April 2026