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The American Lung Association also advocates additional research but argues smoke is harmful to lung health and that marijuana has been shown to contain many of the same toxins, irritants and carcinogens as tobacco smoke. Marijuana may also be more harmful to the lungs because of how people smoke it, Rizzo said

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The study included people who have previous smoking history pipes, currently pipe smokers as well as non-pipe smoking

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National Cancer Institute, Division of Cancer Control, Population Science