Does smoking hookah tobacco affect blood tests ?

The effect of hookah tobacco on blood tests
Smoking before a blood test can falsely show high blood sugar and lipids
RBC Red blood cell: Chronic hypoxia caused by carbon monoxide stimulates erythropoiesis.
Hb Hemoglobin: Increased hemoglobin production to compensate for reduced oxygen delivery capacity
Hct Hematocrit: Increased RBC count causes increased hematocrit
WBC White blood cell: Nicotine stimulates inflammation and increases neutrophils.
Glucose Blood sugar: Nicotine increases insulin resistance and raises blood sugar.
Triglyceride: Increased release of fatty acids and stimulation of the liver to synthesize triglycerides
In the blood of smokers due to smoking, carbon monoxide increases and oxygen decreases, as a result, the bone marrow is stimulated and produces more hemoglobin.
This is why smokers have more hemoglobin in their blood and their blood concentration increases chronically. Increased blood concentration leads to risks such as headaches, dizziness, and in more severe cases, increased blood coagulability and clotting.