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This is particularly concerning for individuals detoxifying from opioids, as smoking can exacerbate withdrawal symptoms and cravings

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Disclaimer The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the CDC Foundation

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We thank GW Pharmaceuticals for kindly providing us with reference standards for plasma analysis of cannabinoid metabolites, and thanks as well to the Mass Spectrometry Facility at Kings for analysing the samples