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Tobacco use has often been overlooked when investigating the cognitive and psychiatric effects of cannabis, despite the established knowledge that nicotine is a psychoactive substance in its own right

Georgia Nugent, former president of Kenyon College, wrote: By outlawing moderate use of alcohol in appropriate social contexts and with adult oversight, we have driven more drinking underground, where it has taken the very dangerous form of pre-gaming. The under-age drinker, no longer permitted the occasional beer during a dance party, is now more likely to chug high-octane alcohol in dangerous quantities before heading off to that party

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The devastating negative effect of smoking on physical health is well established

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