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According to a 2019 research paper, it all began some 2,500 years ago on a remote mountain plateau in Central Asia, where cannabis was smoked for what appears to be the first time ever during funeral ceremonies

23 However, countering Greaves comment, one cannot assume that the rise of female smokers was a result of the tobacco manufacturers' persuading advertisements

The authors of the BMJ report agree that their findings do not clearly identify the reasons why there is a link between academic ability and cannabis use in adolescence

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