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Minimal inflammatory changes were noted in the subepithelial zone, along with parakeratosis (Fig

As mentioned before, there are a number of factors at play and this is even more true when talking about hookah headaches. From our experience, the main reasons behind the headaches are: Dehydration Nicotine Oxygen deprivation Smoking on an empty stomach Improperly lit charcoal Quick lighting charcoal Lets go over these point by point

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