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The blood also thickens, making it more likely for clots to form inside veins and arteries and increasing your risk of coronary heart disease as well as the risk of stroke and other serious conditions like peripheral arterial disease, which reduces blood flow to arms, hands, legs, and feet

The Centers for Disease Control and Prevention states that in 2016, "about 258 billion cigarettes were sold in the United States a 2.5 percent decrease from the 264 billion sold in 2015." That's still a lot of smokes, though

About one-fifth occurred after less than one hour of waterpipe use, and another one-fifth occurred during outdoor smoking, demonstrating that even short-term or outdoor use does not eliminate the risk of CO poisoning