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Understanding shisha and health Shisha smoke can contain: Nicotine the highly addictive substance found in cigarettes Tar, carbon monoxide and heavy metals such as lead and arsenic Tobacco juices that can irritate the mouth and throat These can contribute to health conditions such as: Mouth, lung, stomach and oesophageal cancers Reduced lung capacity and breathing problems Heart disease and clogged arteries Decreased fertility for men and women It can also stain your teeth and alter your sense of taste

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