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The key difference between a spliff and a joint is the tobacco

Among female students, no overall differences in dieting status were observed between smokers and nonsmokers, but smokers were significantly more likely than nonsmokers to have used diet pills in the past month in an effort to lose weight

The mechanism is complex nicotine affects appetite and meal timing, and if insulin is dosed based on expected food intake that doesn't materialise, the result can be a glucose crash