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This may be an ideal opportunity to implement the CBT principles for smoking and mental health (Figs 14) to explore their mental health and tobacco dependence

This ring is removed when THCa is decarboxylated through heat, such as smoking, vaping, or dabbing, converting THCa into Delta 9 THC

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Clinicians may therefore need to adjust long-term disease monitoring strategies for smokers, with heightened vigilance for early markers of progression and more proactive timing of therapeutic escalation