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Remember how long it took to conclusively prove tobacco was bad

Griffiths RR, Henningfield JE, Bigelow GE (1982)

Even after it has been passed through water, hookah smoke exposes you to many of the same chemicals as cigarette smoke including carbon monoxide, toxic metals, and other cancer-causing chemicals

Endocrine-disrupting chemicals, such as per- and poly-fluoroalkyl substances (PFAS) or chlordane, hexachlorocyclohexane, and polychlorinated biphenyls, have been shown to increase the risk of certain cancers, such as thyroid and breast cancers (287)(288)

In one research study of smoking and drinking amongst youth over 98% of the sample of smokers also drank alcohol, suggesting that smoking is a reliable indicator of alcohol use