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Conclusions In situations where individuals are exposed to the clouds of ETS exhaled by modern hookah smokers (using moassel/tobamel), it appears, using cigarette smoke retention models and rates from studies reviewed in the present work, that: hookah smoke is made up of a large amount of glycerol and water (probably around 80% or more) and that these two substances are harmless

Nicotine binds to nAChRs and leads to the release of dopamine which is involved in pleasure and reward mechanisms in the brain and other neurotransmitters

Tobacco use rates will increase among youth and fewer adults will quit

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Additionally, the cigarette smoke deposits in the lung tissue causing chronic inflammation (4,8)