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The relative ease of acquiring the more harmful form of nicotine compared with less harmful products has been described by tobacco control and harm reduction experts as perverse regulation [11]

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Tobacco Health Risks The tobacco component introduces several health concerns: Nicotine addiction develops quickly, even with occasional spliff use Respiratory irritation tobacco smoke is more irritating than cannabis smoke alone Cardiovascular effects nicotine increases heart rate and blood pressure Cancer risk tobacco contains numerous carcinogenic compounds Reduced lung function combination smoking may compound respiratory impacts Medical Patient Considerations Medical cannabis patients should carefully weigh spliff use against their treatment goals

Dietary and lifestyle modifications for effective management of hypertension: A comprehensive review Kanza Saleem, Iahtisham-Ul-Haq, Gholamreza Abdi, Roshina Rabail, Rana Muhammad Aadil Journal of Agriculture and Food Research 17