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Participants were followed up through 2015 for incident stroke, which was defined on the bases of the history of stroke, transient ischemic attack, or angioplasty, carotid endarterectomy or both

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With tobacco being the main source of smoke in both hookah and cigarettes, hookah users are exposed to many of the same toxic compounds/by-products as cigarette users but at dramatically higher levels, which might in fact produce worsened health effects in users [23]

If youre a non-smoker, its not advisable to start vaping