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Blow gently into a disposable tissue to avoid spreading germs and pushing mucus into your ears or other parts of your sinuses

Pediatr Res 93(7):19591968 Kadhum M, Jaffery A, Haq A, Bacon J, Madden B (2014) Measuring the acute cardiovascular effects of shisha smoking: a cross-sectional study

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The risk of developing it is directly related to how much someone smoked or chewed

For example, more smokers may also experience a mental health concern and use smoking as a coping mechanism, thus the negative impact of depression and/or anxiety may not be as noticeable