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Cannabis smoking via combustion, even without cigarette smoking [20], has been associated with respiratory symptoms, chronic bronchitis, changes in lung function testing, risk of developing COPD, worsening of asthma and COPD, bullous disease, and lung and head and neck cancer due to exposure to carcinogens [21], cardiovascular complications, allergy, and respiratory infections [22, 23]

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The average smoker has tried to quit six to nine times, and the quit rate only reaches 15-30 percent with more effective interventions such as behavioral and pharmacological therapies [16]