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The major difference between joints and spliffs is this: spliffs have tobacco included, whereas joints do not

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Lu Y, Sobue T, Kitamura T, Matsuse R, Kitamura Y, Matsuo K et al (2018) Cigarette smoking, alcohol drinking, and oral cavity and pharyngeal cancer in the Japanese: a population-based cohort study in Japan

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There, while admitting that there is insufficient evidence of pregnancy NRT effectiveness but "overwhelming evidence for effectiveness generally," it was noted that while nicotine "may