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GERD is usually a more serious condition that can lead to other illnesses like esophagitis, stricture (narrowing of the esophagus), asthma, sinusitis, and Barretts Esophagus, a precancerous change to the makeup of the esophageal lining

Air Leaks One of the most overlooked mistakes that can happen in hookah is smoking when there is an air leak

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The harmful chemicals found in tobacco smoke are nicotine, hydrogen cyanide, lead, ammonia, arsenic, formaldehyde, radioactive elements like Uranium, carbon monoxide, polycyclic aromatic hydrocarbons (PAHs), benzene, and nitrosamines