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Lately, as also noted by the American Heart Association statement [211], hookah has been considered a global threatin partdue to the high increase of its use, in addition to the deleterious effects it has on human body such as frequent respiratory infections, persistent cough, oral and esophageal cancer, and induction of a pro-inflammatory state

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This is where psychological support, such as therapy, becomes essential

So much so that I can hardly tell its on most of the time

This validation ensures the form is used only for cases that meet the statutory threshold for reporting to the MVC