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So although a person who starts to smoke in the teen years may not show any evidence of the disease until much later in life, the teen still has a high risk of accumulating mutations in his/her cellular DNA with each cigarette puff or use of a tobacco product

This is concerning, since, in many ways, smoke is smoke, and using devices with water filters, like bongs and hookahs, doesnt help in terms of the tar exposure

And there needs to be signs in the practice

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The authors did not disclose any potential conflicts of interest