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Cardiovascular and Systemic Effects Immediate Cardiovascular Response: Both consumption methods can temporarily increase heart rate and blood pressure, but smoking typically produces more pronounced acute cardiovascular effects due to rapid onset and higher peak blood concentrations

Reidel et al., 2018)

I never even seen no cotton. He wouldve been a Washingtonian

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Its considered more than 99% effective, meaning fewer than one in 100 women gets pregnant while using an IUD