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As Charlie Graham-Dixon wrote in a Vice magazine article discussing his teenage stoner habits: Getting high can be a lot of fun, but lets not pretend that smoking a load of skunk doesnt fuck you up. So often the polarised nature of this debate means that any suggestion that cannabis can be bad for you is met with kneejerk dismissal

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Smoking is the single greatest reason to fall sick or even cause death worldwide, the United States is no exception

Cigarettes are still worse

Environ Sci Pollut Res 22

The pipes themselves have a symbolic meaning: the straw part is considered projective or masculine, and the bowl where the tobacco is burnt is considered receptive, or feminine