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Fumigation ( dhupa ) and fire offerings ( homa ) are prescribed in the Ayurveda for medical purposes, and have been practiced for at least 3,000 years while smoking, dhumrapana (literally "drinking smoke"), has been practiced for at least 2,000 years

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[18] One 2025 study found no serious respiratory effects, [57] whereas another found that vaping is associated with chronic obstructive pulmonary disease but less so than smoking