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Essentially, you are providing more and more oxygen for the fire to burn faster and hotter, thus eating up the tobacco and releasing smoke into your lungs

The higher temperature of cannabis smoke can affect lung function tests by causing greater irritation and inflammation in the large airways, potentially leading to uncomfortable symptoms like chest tightness, shortness of breath, and altered lung function, as shown in numerous studies, including American Lung Association findings

They were categorized into three groups based on smoking and SHS exposure, accessed with survey questionnaires

Vaping in the workplace: prevalence and attitudes among employed US adults

(American Lung Association, 2017)

The same clinic has confirmed that anti-CCP-positive RA patients, who are current or former tobacco smokers, show a more extensive anti-CCP isotype usage compared with nonsmoker anti-CCP-positive patients