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In a cross-sectional study of 7716 US adults from the National Health And Nutrition Examination Study cohort, Kempker [34] showed no effect on FEV1/FVC up to 20 joint-years, but in those with greater than 20 joint-years there was a 2.1-fold risk for FEV1/FVC ratio 40 years) residing in Vancouver, Canada, as part of the Burden of Obstructive Lung Diseases (BOLD) study [41], the odds ratio (OR) for chronic respiratory symptoms was not increased among the 49% of respondents who reported ever using marijuana alone and importantly the concurrent use of marijuana and tobacco was associated with a higher OR for respiratory symptoms (OR, 2.59

Many of the papers included in the analysis don't specify which type people are using, according to Linda Bauld, professor of health policy at the University of Stirling

Nicotine mimics a chemical (acetylcholine) that is made in the body that is responsible for stimulating nerves

This is because it can bond to your red blood cells 230 times stronger than oxygen