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This was, in part, because the ideas of causation in epidemiology were not well-defined, and most people dismissed these findings as chance correlations

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Other risks Hookah smoking causes other health effects, including: low birth weight of babies whose mothers smoked during pregnancy higher blood sugar levels, which can increase ones diabetes risk larynx (voice box) swelling or damage changes in blood clotting stained teeth gum disease loss of taste and smell Hookah smoking doesnt make you high