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Schluger, dean of the School of Medicine of New York Medical College and pulmonologist, told Fox News Digital

Led by researchers at NYU Grossman School of Medicine, the new investigation of 341 men and women showed that large numbers of vapers and hookah smokers exhaled through their nose (63 percent and 50 percent, respectively)

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And, of course, smoking out of a pipe is regarded as an upper-class activity, so simply partaking in it can change how youre perceived in social settings.