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Differences in effect are widely reported Many users report subjective differences between the effects of cannabis alone and cannabis when mixed with tobacco

Some 90% of tobacco users start before the age of 21, and about 80% first try tobacco before age 18, according to the National Survey on Drug Use and Health

doi: 10.1021/acs.chemrestox.1c00411

Lending construct validity that ILA is an early manifestation of ILD, persons with ILAs are more likely than those without ILAs to report cough and/or dyspnea (14, 34)