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There are growing concerns about how they are marketed to appeal to children and non-smokers (Mays and others, 2023)

Some state medical cannabis programs have specific guidance about mixing cannabis with other substances, and workplace drug testing policies may not distinguish between medical spliff use and recreational tobacco use

Tobacco companies have introduced ammonia to their cigarettes, which creates a more desirable and addictive form of nicotine by changing the chemistry of the nicotine the smoker absorbs

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