is smoking a joint as bad as smoking a cigarette Cannabis Does Marijuana Cause Lung Cancer?

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The pattern of emphysema in AAT deficiency differs slightly from that of smoking induced pure emphysema in that AAT deficiency produces panlobular emphysema affecting predominantly the lower lung fields, and smoking induced emphysema is usually centrilobular affecting the upper lung fields initially

It must have worked, because I haven't even put my lips on a cigarette in my adult life