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This high number of users is explained, in part, by the drugs short-term effects

It smells, its expensive and the effects of secondhand and thirdhand smoke on your loved ones can be as deadly for them as smoking is for you

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And it can make peoples existing respiratory issues, like asthma and COPD, even worse

Mixing these two drugs confuses your central nervous system and dramatically increases the risk of blacking out, respiratory depression, and sudden blood pressure changes

Of course, anybody else in the car can hear the conversation a plus or minus depending upon one's viewpoint