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Thats why orthopedic surgeons always strongly recommend quitting smoking before your procedure, Garrigues says

Both substances are likely to contribute to lung damage. Researchers do know that marijuana smoke and vapor contain many of the same harmful substances as tobacco

71 In 1976, RJR briefed their ad agency, Ogilvy & Mather, with the following summation of the importance of advertising which provided psychological symbolism to consumers

People use tobacco smoking for various reasons, such as to relieve stress, to improve mood, to socialize, and as a form of self-medication for conditions such as anxiety and depression (American Cancer Society [ACS], 2019)