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Smoke production is consistently solid, the burn line is easy to touch up and straighten, and the combustion hiccups are sporadic and avoided with an adjusted puffing rate

But this is also why annual screenings for those at higher risk for developing the disease may be recommended over the course of several years

Confounding factors such as tobacco co-use and challenges in accurately quantifying lifetime cannabis exposure, often due to its legal status, further complicate the investigation

Data collection tools such as STAR-TCT can inform policy development efforts to counter tobacco marketing specific to AI/ANs