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Endobronchial biopsies from habitual marijuana-only smokers reveal widespread histopathologic alterations that are recognized as precursors to the subsequent development of malignancy [52], such as squamous cell metaplasia and cellular atypia, comparable to those observed in biopsies from tobacco-only smokers [53]

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Truth Initiatives study of streaming in 2020, released Tuesday and obtained exclusively by USA TODAY, estimates that 27 million young people were exposed to smoking and vaping imagery in 2020 from streaming shows alone