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Differential assessment Cannabis dependence must be differentiated from: Cannabis abuse / harmful use without dependence features Cannabis-induced psychiatric conditions (e.g., psychosis, mood disorders) Other substance use disorders or comorbid conditions Accurate diagnosis requires thorough history-taking, standardized screening tools (e.g., CUDIT-R), collateral reports when available, and clear documentation of symptom onset, course, and functional impact

with high blood pressure by state (CDC): Alabama: 41.9% Alaska: 31.8% Arizona: 30.7% Arkansas: 41.3% California: 28.4% Colorado: 25.9% Connecticut: 30.5% Delaware: 34.9% District of Columbia: 26.7% Florida: 34.6% Georgia: 33.1% Hawaii: 30.6% Idaho: 29.8% Illinois: 32.3% Indiana: 35.2% Iowa: 31.5% Kansas: 32.8% Kentucky: 39.4% Louisiana: 39% Maine: 34.8% Maryland: 32.4% Massachusetts: 28.6% Michigan: 34.7% Minnesota: 26.6% Mississippi: 40.8 Missouri: 32% Montana: 29% Nebraska: 30.6% Nevada: 32.6% New Hampshire: 30% New Jersey: 33% New Mexico: 30.5% New York: 29.4% North Carolina: 34.7% North Dakota: 29.5% Ohio: 34.7% Oklahoma: 37.7% Oregon: 30.1% Pennsylvania: 32.6% Rhode Island: 33.1% South Carolina: 38.1% South Dakota: 30.8% Tennessee: 38.7% Texas: 32.5% Utah: 24.5% Vermont: 30.4% Virginia: 32.4% Washington: 29.5% West Virginia: 43.5% Wisconsin: 30.8% Wyoming: 30.8% Canada's blood pressure statistics In neighbouring Canada, about 1 in 4 people have high blood pressure (Statistics Canada)

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