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Attitudes towards recreational and medicinal use of cannabis have changed rapidly, and many states have legalized it for medical and/or recreational use

cigarettes, cigarette tobacco, cigars, pipe tobacco, tobacco sticks, smokeless tobacco, kreteks [clove cigarettes], bidis [thin roll of tobacco wrapped in a leaf], shisha, tubes, blunt wraps, rolling papers and others)

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Overall, both groups experienced lower exposure to toxicants including those that contribute to respiratory and cardiovascular disease, specifically NNAL at the end of the study compared to baseline