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Chen H, Zhang W, Cheng X, Guo L, Xie S, Ma Y

Moreover, the risk of delivering low birth babies tripled, in addition to reported neonatal respiratory distress that is linked to hookah use during the first trimester [122, 123]

We recognize that distinguishing cadmium-specific effects from effects caused by PAHs, TSNAs, and other volatile compounds would require additional biomonitoring (e.g., blood and urinary cadmium levels, urinary PAH metabolites), mechanistic biomarkers (e.g., metallothionein, 2-microglobulin, 8-hydroxydeoxyguanosine), and DNA adduct analysis

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