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"We know that marijuana smoke contains the same carcinogens and toxins and tar that cigarette smoking does, but we really don't have long-term studies that are similar to tobacco-related studies because marijuana has not been able to be studied because of its illegal nature, the fact that many people don't admit to what they're smoking and many people smoke both marijuana and tobacco," Rizzo said

Participants used cannabis for a median of 250 days in the last year (almost daily), with 0.50 grams the median for use per session

So much so that the cigar industry called them American Market Selection (AMS)

[Google Scholar] Oral submucous fibrosis: A review of the current management and possible directions for novel therapies