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4 Despite the well-established epidemiological relationship, the underlying mechanisms that link smoking and BC remain incomplete

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Because of tribal sovereignty, many of the federal policies that restrict forms of predatory marketing and selling of commercial tobacco may not impact reservations, which may also give tribes the opportunity to create their own policies without being impacted by preemption

Desired Effect: Joints tend to deliver a clearer, more uplifting high, while the nicotine in blunts and spliffs can intensify the effects or add a slightly more stimulating feel