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This is not a common situation

While cannabis is widely grown in Sierra Leone, the fentanyl is thought to originate in clandestine laboratories in China, where the drug is manufactured illegally and shipped to West Africa

Yet, they prefer to provide extra protection to cigarettes during shipping

As evidence suggests that people who use both tobacco and cannabis are more likely to report mental health problems, greater nicotine dependence and alcohol misuse, all of which are associated with reduced success in tobacco cessation, investigation as to whether co-consumers and cigarette-only smokers differ on these measures is warranted

Associations of smoking and smoking cessation with CT-measured visceral obesity in 4,656 Korean men