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When symptoms are present, they include pain and cramps in the muscles of the thighs, calves and hips, particularly during exercise

While many people view it as a safer alternative to cigarettes, hookah smoking carries its own set of health risks, including its potential impact on sleep

Therefore, a shorter TTFC is a behavioral manifestation of both high physiological dependence and the psychological conviction that quitting is an impossible task 15

Knowledge gaps may reflect reliance on social media and marketing rather than reliable health sources, as well as limited educational coverage of e-cigarettes, even among medical students (28)