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The National Academies report found pot use likely increases the risk of dependence on other substances, including tobacco

Children: Nicotine products are poisonous to children

Stage 1: Tolerance After smoking only a few cigarettes, nicotine loses its effectiveness at stimulating the reward pathway

This direct exposure damages cells and increases the likelihood of mutations that can lead to cancer.The Nature Communications study highlighted that even moderate use of chewing tobacco over time can result in precancerous lesions and a faster progression to malignant tumors compared to cigarette smoking

Note that the median final score for clinicians who do not submit data is 75 for all practice sizes except for solo practitioners