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Never is the directive for a lot of things that a lot of people will do more times than never

Most people show no symptoms

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By contrast, those who have [only] used cannabis ever since the adolescent period do not appear to have evidence of impairment of lung function. Specifically, investigators identified airflow obstructions in the lungs of cigarette-only smokers, but they observed no such obstructions in cannabis-only subjects

This occurs from exposure to carbon monoxide, which is found in you guessed it tobacco smoke

Over time, genetic mutations build up