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Hi jennifer,   No, Tension-Type headache (T-TH) is a primary headache disorder, meaning it is not attributed to any other disorder. However, T-TH may trigger a Migraine attack, and cigarette smoke may be a trigger for some people. Migraine triggers can range from dehydration, chocolate, and hot dogs, to weather changes, sleeping in late and missing a cup of coffee in the morning.  For more information on Migraine triggers you can look at our Migraine trigger page,  HERE.    Good luck Nancy 
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