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Thats because exposure to the chemicals found in cigarettes changes the surface of the platelets in your blood

Deepak Cyril DSouza, a professor of psychiatry at the Yale University of Medicine told NBC news in November, 2020 that he has spent 25 years studying the effects of marijuana and THC and that in our studies on THC, we found a very robust increase in heart rate and an effect on blood pressure that can be quite profound. A 1988 trial found that women given very low-THC (1.8%) joints showed statistically significant increases in pulse rate, and this increase was more pronounced and lasted longer for participants with a history of intermittent marijuana use

There is no uniform blood test for it, Osterhoudt said

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