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This suggests that, if cannabis or tobacco is causally related to psychotic symptoms, the combination of cannabis and tobacco appears to have a stronger effect than tobacco alone Late-onset cannabis and tobacco was associated with an increased risk of psychotic symptoms, with an odds ratio of around 3 Late onset tobacco alone showed no association In a separate analysis, the authors investigated the associations between experiencing psychotic symptoms at age 12 (for non-smokers) and subsequently taking up tobacco and/or cannabis smoking

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Several limitations to the current study are acknowledged and should be addressed, including that data were collected using a self-administered questionnaire, which may have recall and desirability biases

However, this doesnt mean lifespans are identical, and individual outcomes vary based on use patterns, inhalation, and duration of smoking