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The negative long-term effects of cigarette and tobacco consumption are known, but the same cannot be said for vaping

Tobacco Tobacco is found in cigarettes which are smoked and shisha which is smoked through a waterpipe (hookah)

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Common signs include frequent awakenings, light sleep, and daytime fatigue

This marker is often viewed as the gold standard for assessing nicotine exposure due to the objectivity of these measures and the decreased susceptibility to reporting bias

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