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On the other hand, our findings do suggest an accelerated decline in pulmonary function with heavier use either very frequent use or frequent use over many years and a resulting need for caution and moderation when marijuana use is considered. Pletcher is the lead author of the paper

Research and Epidemiology: Pack years are widely used in research studies to analyze the relationship between smoking and disease risk

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It seemed that every person on that floor was witnessing my humiliation, including my sister Ivy, who received a severe lecture from my Mum for not sticking up for me