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A 2026 Australian review even suggested vaping likely carries cancer risks, though long-term human evidence is still developing

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On the other hand, the economic cost is substantial, with approximately MYR 2.9 billion (1000 Malaysian Ringgit about US$250) or 16.5% of the national health expenditure, allocated to treat cardiopulmonary diseases and lung cancer that are directly linked to tobacco use 3

Many herbal brands are designed in such a way that they can be prepared and smoked exactly like regular shisha tobacco, providing flavor and smoke, just without tobacco or a nicotine buzz