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Combined with an already compromised LES, this excess acid easily travels into the esophagus, causing greater discomfort and potential tissue damage

Interestingly, Arab Americans had higher percentage of both current and ever use compared to non-Arabs, which indicates a strong influence for cultural background on hookah use [49]

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2011, Geneva: World Health Organization Centers for Disease Control (CDC): Smoking-attributable mortality, years of potential life lost, and productivity losses United States, 2000-2004

Snuff has a lower risk for lung cancer than smoking, but it's still not safe