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While not everyone that develops heart disease is a smoker, smoking even just one cigarette per day can increase the likelihood of heart complications tenfold

Ward E, Cox S, Dawkins L, Jakes S, Holland R, Notley C

When accounting for controls, compared to those who smoked tobacco and did not use spliffs, the following groups were less likely to have their first joint within 60 minutes after waking: those who smoked tobacco and did use spliffs (aOR = 0.80, p = 0.02), those who never smoked tobacco and did not use spliffs (aOR = 0.69, p = 0.00), those who never smoked tobacco and did use spliffs (aOR = 0.47, p = 0.00)

National Cancer Institute and Food and Drug Administration co-sponsored Tobacco Use Supplement to the Current Population Survey: 20182019

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