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Future studies on water-pipe use that focus on the long-term adverse health effects of intermittent water pipe tobacco use are needed to strengthen the evidence base and to inform the regulation of hookah products, according to the authors

doi: 10.3389/fped.2024.1423556 Received 26 April 2024 Accepted 28 August 2024 Published 13 September 2024 Volume 12 - 2024 Edited by Hong Lu, Peking University, China Reviewed by Hugo Martinez-Rojano, Escuela Superior de Medicina (IPN), Mexico Lihua Ren, Peking University, China Updates Copyright 2024 Zhang, Strodl, Yang, Yin, Wen, Sun, Xian, Zhao and Chen

As early as in 1981, Melander et al .,[] demonstrated a small decrease in serum T4 and rT3 levels, and an increase in serum TSH level after 3-77 days of abstinence from smoking