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Smoking weakens the body, meaning smoking while undergoing cancer treatment decreases the effectiveness of therapies
Because hookah smoking is typically done in groups, passing the same mouthpiece from person to person in the group, there are special concerns related to hookah use, including the risk of transmitting tuberculosis, herpes, and/or hepatitis and other infectious diseases

[166] "Report of the Committee on Tax Evasion," in Proceedings of the 45 th Annual Meeting of the National Tobacco Tax Association (Chicago: Federation of Tax Administrators, 1971), 2-3

Thyroid disorders , including thyroid nodules or thyroid cancer, can sometimes cause symptoms in the neck region that might be mistaken for oropharyngeal cancer