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According to the irritating the throat and lungs increasing inflammation, or swelling, in the airways increasing airway resistance, creating less room for air to move in and out leading to hyperinflation, which occurs when air gets trapped inside the lungs, making it more difficult for the body to pull in fresh air damaging or scarring small blood vessels in the lungs According to the coughing wheezing overproduction of phlegm Some studies indicate that smoking cannabis may cause or worsen other lung conditions

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Recognizing these pathways can guide the design of interventions that combine peer-led diffusion and teacher-led instruction as complementary strategies to maximize impact in different settings