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"We believe states and localities should defer to this process and allow Congress the opportunity to think through this issue further before enacting different minimum-age laws." Thomas Glynn, who reviewed the report for the Institute of Medicine, called the report a "monument to good science" and a "contribution to the health of every citizen in the U.S." Glynn, a consulting professor at the Stanford Prevention Research Center at Stanford University's School of Medicine, says he was initially skeptical of the idea of raising the legal age to buy tobacco to 21

[13] Besides biological effects, smoking has a profound social impact on people with schizophrenia

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