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These results were contrary to our hypotheses and suggest that tobacco and cannabis use do not have additive effects on clinical symptomatology

Smoking is a personal choice

Additionally, nicotine is broken down into several byproducts, primarily cotinine, by the liver, and both nicotine and cotinine are used in testing to determine recent use of nicotine products

They indicate that although cannabis effect on driver impairment is moderate in comparison to alcohol effects, using cannabis and alcohol together may have an enhanced effect on driver impairment

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