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THC activates cannabinoid receptors (CB1 and CB2) , affecting memory, pleasure, movements, thinking, concentration, coordination and sensory/time perception

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Diabetes and smoking make it difficult to regulate blood sugar levels and may exacerbate other health problems

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It is important to note the uniqueness of our sample, and that adult smokers who reported current alcohol use and were at the stage of recent e-cigarette (re-)initiation may have different preferences for tobacco and alcohol compared to other populations (e.g., exclusive smokers who never used cigarettes), and thus cautions should be taken before generalizing the study results