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However, marijuana that is smoked is often unfiltered, which can potentially lead to more damaging particles entering the airways and lungs. Combined marijuana and cigarette smokers were three to four times more likely to have airway wall thickening, which can lead to infections, scarring and further airway damage

Only a few products had clear labelling of the actual nicotine content in milligram per pouch or per gram

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Include strong penalties in any proposed policy and monitor compliance with any new or existing laws