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Gilreath cited research suggesting that one hookah session could be equivalent to smoking between one and 50 cigarettes

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At the first visit: 34% reported dual substance use 4% reported exclusive cannabis use 35% reported e-cigarette use without cannabis 28% reported no substance use By the second visit, 59% of participants reported cannabis use: 29% vaped cannabis 28% smoked cannabis 51% consumed edibles 32% used CBD products 4% used topical cannabis Frequency and intensity differed by product type

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