The use pattern may be less marijuana cigarettes smoked than tobacco cigarettes, but the effects of using either drug is the same. The inhalation of particulates in marijuana smoke, even with the use of a water pipe, makes the marijuana user, like the tobacco user, at risk for these diseases (Moore et al.,2005 Thomson, et al., 2008). Respiratory and dental diseases are other cautions in regard to chronic marijuana use. Shared Decision Making and Communication.
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