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Thats because vaping and smoking both affect the brains reward system in ways that can contribute to symptoms of anxiety or depression over time

Waterpipe Tobacco Waterpipe tobacco, known as hookah or shisha tobacco, has the largest mass fraction of sugars, including fructose, glucose, and sucrose, compared to any other combustible tobacco product, typically accounting for more than half of the product mass (Table 1)
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Tobacco companies are starting to see this as a marketing opportunity, McKee said

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