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Cannabis smoking via combustion, even without cigarette smoking [20], has been associated with respiratory symptoms, chronic bronchitis, changes in lung function testing, risk of developing COPD, worsening of asthma and COPD, bullous disease, and lung and head and neck cancer due to exposure to carcinogens [21], cardiovascular complications, allergy, and respiratory infections [22, 23]

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" Lucy (2003) at The Biopic Story"

So why continue this approach at all

Hand-rolled cigarettes allow control over additives and flavor, but they still carry similar health risks as commercial cigarettes