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Because of the cross-sectional approach of this study, where outcome and risk factors have been observed at a fixed point in time, reverse causality biases cannot be ruled out

About one in five more youth are now reporting having used marijuana in the past month since its legalization

Considering the subtle membrane changes that are usually induced by smokeless tobacco due to its ability to generate free radicals which have been implicated with hepatic injuries and which when persistent may cause liver cirrhosis, at 4 weeks stage of the study, groups B, C and D showed cellular necrosis, inflammatory cell infiltration, hemorrhagic exudations, degenerative fatty changes with vacuolations, severe cellular infiltration with hemorrhage and distortions in parenchymal tissue architecture with hemorrhagic exudations Fig

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A semi-structured interview guide was used