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This is particularly concerning given that smoking in T2D is not a marginal lifestyle factor, but a major clinical risk amplifier , significantly increasing both all-cause and cardiovascular mortality

Standard chillums may be made out of clear glass or cigarette-shaped, while more intricate one-hitters and bowls vary in color, shape, size, and details

Participants were categorized as exclusive cannabis users, exclusive e-cigarette users, nonsubstance users, or dual usersthose reporting daily or some-day use of both e-cigarettes and cigarettes

Accessibility: For individuals living in remote areas or areas with limited access to physical stores that sell native cigarettes, online purchasing provides greater accessibility