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When you smoke from a joint, the hot smoke travels directly from the burning tip into the mouth and lungs, often without cooling

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According to the study authors, this study is one of the first large cohort studies of patients treated with radiotherapy for prostate cancer to show that smoking can adversely influence survival outcomes and increase the risk of treatment-related toxicity. While prospective studies are needed to confirm these findings, oncologists should, in the meantime, encourage patients to participate in smoking-cessation programs before therapy to potentially lower their risk of relapsing disease and post-treatment toxicities, conclude the authors.

Polosa R, Benowitz NL: Treatment of nicotine addiction: present therapeutic options and pipeline developments