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Some cigarette smokers switched to pipes or roll-your-own products, mistakenly believing they were making a healthier choice while actually just changing how they consumed the same dangerous substance

The amount of smoke inhaled during a typical hookah session is about 90,000 milliliters, compared with 500600 ml inhaled when smoking a cigarette (American Journal of Health Behavior, 2010)

Nicotine constricts blood vessels, which limits circulation in your gums, and the smoke introduces toxins that irritate soft tissue and disrupt the balance of bacteria in your mouth

Promotes mucus clearance for easier breathing