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People living with HIV (PLHIV) are particularly susceptible because of a compromised immune system, as the depletion of CD4 + T-cells critically impairs the bodys ability to control Mycobacterium tuberculosis (Mtb) infection, leading to a significantly higher risk of progression from latent to active disease (Getahun et al., 2010)

Sleep Disruption: Tobacco users often experience poor-quality sleep due to nicotines stimulating effects

The Starbuzz website even says that this particular flavor is always changing depending on trends

When beginning smoking the pipe, don't choose a too pronounced or too flavored tobacco, or a rough cut (of a "Flake" type)

- The water pipe is 100% handmade and handblown glass

Harmful metals, including arsenic, mercury, nickel and lead