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Highlights: Hookah smoke contains very high levels of toxic chemicals even more than that present in cigarettes Hookah smoking affects blood pressure, heart rate and can be harmful to the heart and blood vessels It can significantly elevate the risk of cardiovascular diseases such as coronary artery disease Circulation
Following the Commission Delegated Directive (EU) 2022/2100, which became effective on November 23, 2022, novel tobacco products include Heated Tobacco Products, which are defined as a product that is heated to produce an emission containing nicotine and other chemicals, which is then inhaled by user(s), and that, depending on its characteristics, is a smokeless tobacco product or a tobacco product for smoking. II
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