largest exporter of tobacco 20 EXPORTERS IN THE WORLD Editorial Comment: Value addition on

Wintemberg et al

Nicotine increases energy metabolism and decreases the efficacy of energy conversion [245]

Because of the smoke passing through the water and the slow burning of tobacco, the amount of smoke a smoker inhales during a hookah session can be much greater than that inhaled when smoking a single cigarette

High potency marijuana has been linked to psychotic episodes, chronic bronchitis, pneumonia, stroke, heart failure, cancer, depression, anxiety, and substance use disorders

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