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Policy takeaway: Endothelial dysfunction offers policymakers a unique opportunity: a sensitive and early, non-invasive biomarker that reveals vascular toxicity of emerging nicotine products long before clinical disease manifests

This strategy helps lower barriers to participation and avoids making patients feel singled out or shamed, and makes the program sustainable from a labor and cost perspective since the initial enrollment doesnt need to be triggered by additional actions from a healthcare team member

In addition to private hookah smoking, hookah lounges or bars have opened in cities across the country

Plus, you can refer to it when you go home so you dont leave anything in the hotel room or Airbnb