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Both THC and CBD are present in cannabis in a mixture of acidic forms, which are readily de-carboxylated and chemically altered upon heating, important when you consider that smoking cannabis is the most common form of consumption

64 The authors review of the literature identified a small number of studies 55-58 that longitudinally assessed lung function in middle-aged subjects who continued to smoke or switched to HTPs, but they were not specifically recruited from a patient population with COPD

Nonetheless, beneficial results were consistently observed in many COPD health metrics over the entire 3-year period of the study