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Additionally, shisha is smoked using coconut shell charcoal briquettes, which burn at a lower temperature than cigarettes and produce less smoke and tar.

So, there is massive exposure all at once as people smoke three or four cigarettes back-to-back

Countless celebrities like Leonardo DiCaprio, Kate Moss and Robert Pattinson have been photographed vaping

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In addition, he said, North Carolina law enforcement agencies have observed vape shops and tobacco retailers increasingly serving as distribution hubs for illegal, dangerous drugs, such as the powerful stimulant known as khat and the opioid tianeptine