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While there have been several efforts to determine the association between waterpipe tobacco smoking and gastric cancer in Vietnam, none has been conducted to evaluate the association between waterpipe tobacco smoking and the risk [for] overall cancer death, they said

Nature 442 , 9971002 (2006)

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Additionally, government regulations in certain countries in the region have not restricted these products as heavily as cigarettes, allowing for broader market access and consumption

He told MLB.com in 2016 that he goes through at least two in every game, totaling well over 8,000 toothpicks