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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. All groups were compared to nonsmokersand those who smoked both were found to be 12 times more likely to have centrilobular emphysema, which can lead to difficulty breathing, coughing, and other respiratory symptoms

It can also spread through insufficient sterilization of medical equipment, or untreated blood or blood products

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This means these companies will classify smokeless tobacco users and cigar smokers as non-tobacco users (even if you test positive for nicotine)