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These associations are thought to reflect the co-morbidity of smoking and vascular, respiratory, and substance use/psychological conditions

Additionally, the presence of moisture, exposure to air, and temperature fluctuations can impact the deterioration of cigarettes over time

When it comes to appearance, joints typically present a slimmer profile compared to spliffs

PLoS One 2017, 12, e0183602 10.1371/journal.pone.0183602
