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On the other hand, smoking and hookah may cause genetic abnormalities in sperm and eventually lead to birth defects in the fetus

This is certainly an irony for the country that touts itself as the land of the free. Among those 2 million people in prison are 40,000 who remain incarcerated in state or federal prisons on cannabis-related convictions about half of them for marijuana offenses alone

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This distinction may help clarify how personalization operates within self-help interventions: it may be particularly effective in fostering initial change or consumption reduction, but structured adherence appears more strongly associated with abstinence