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The Indian Council of Medical Research ICMR also listed the dangers of Electronic Nicotine Delivery Systems (ENDS), e-cigarettes, e-sheesha, heat-not-burn devices, vape and e-nicotine flavored hookah, etc

[28] Exposure to Gutka tends to be highest in saliva and urine as evaluated by measuring 8-OHdG in DNA

Smoking molecular damage in bronchial epithelium

Seek medical advice if: Cough lasts longer than three weeks Chest pain becomes severe Breathing becomes difficult Fever persists or worsens Mucus appears yellow, green, or blood-stained Early care helps prevent progression to pneumonia or chronic lung disease
