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Limitations This systematic review was conducted according to established methodological standards and with inherent limitations

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Comparable to those levels, US adults current use-smoking waterpipe on at least 1 day within the past 30 days was 9.8% and ever use-smoking waterpipe at any point in lifetime was 1.5% between 2009 and 2010 [44] reaching levels of 12.3% and 3.3%, respectively, by 20122013, reflecting a gross increase within the US population [45]