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Despite the strength of this longitudinal design, it is not possible to definitively prove causality that the cognitive decline was specific to exposure to cannabis and not some other unmeasured confound, Australian psychologist Nadia Solowij of the University of Wollongong wrote in an email, though like Hall and Gruber, she found the study convincing

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Other cardiovascular adverse effects of smoking include the increase in also bloods cholesterol level, increase blood pressure and weakening of the blood vessels