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see the problem with hookah studies are the mass inconstancies A) tobacco's B) Different coal usage, amount per one session and in concentration. See tar is created through direct burning. If hookah is done properly the coal should in directly burn the tobacco preventing tar. Also using Starbuzz or higher quality tobacco, normally has 0.0 tar. This does not mean tar free though. example 0.0001 percent tar, you get the point.
So it is hard to decide if hookah is worse for you then cigarettes, but don't be under the illusion that it in any form healthy or that the water somehow filter's out pollutants. It is still smoke which is still damaging to the lungs after long term use.
Personally I smoke hookah everyday, but also do boxing to even out the effects lol.
So take it for what you will, but I would not really take the studies seriously as again there are a lot of factors involved in the process.
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