Does cannabis damage lungs? Unraveling the truth about cannabis and respiratory health.

Does cannabis damage lungs? It’s a question that sparks curiosity and concern, and for good reason. The world of cannabis is vast, with its use woven into the fabric of culture and medicine. But as its popularity surges, so too does the need for clear, factual information. Let’s embark on a journey to explore the impact of cannabis on your precious lungs.

This isn’t just about smoke and mirrors; it’s about understanding the intricate dance between your body and the green plant.

We’ll delve into the mechanics of inhalation, examine the specific chemicals at play, and compare various consumption methods. Prepare to unpack the potential risks, from the subtle cellular changes to the more pronounced respiratory issues. We’ll navigate through scientific studies, medical expert opinions, and real-world scenarios to paint a comprehensive picture. The goal? To equip you with knowledge, empowering you to make informed decisions about your well-being.

So, let’s take a deep breath and begin this exploration together, shall we?

How does inhaling cannabis smoke affect the tiny air sacs within the lungs?

Let’s delve into the fascinating, yet complex, world of our lungs and the impact of cannabis smoke. We’ll explore the intricate dance between these tiny air sacs, the alveoli, and the particles introduced by cannabis smoke, uncovering the immediate and potential long-term consequences. This journey will highlight the body’s natural defenses and the cellular changes that occur, offering a comprehensive understanding of this critical interaction.

Alveolar Interaction with Cannabis Smoke

The alveoli, microscopic air sacs in the lungs, are where the magic of gas exchange happens. Oxygen from the air we breathe moves into the bloodstream, while carbon dioxide, a waste product, moves out. Cannabis smoke, however, throws a wrench into this delicate process. Unlike clean air, cannabis smoke is a complex cocktail of particulate matter, including cannabinoids like THC and CBD, as well as various irritants and carcinogens.

When inhaled, these particles journey deep into the lungs, where they encounter the alveoli.The mechanics are quite straightforward, yet the implications are significant. The heat from the smoke can directly damage the delicate alveolar walls, causing inflammation and irritation. Moreover, the particles themselves, particularly the tar and other combustion byproducts, can settle on the alveolar surface, hindering the efficient exchange of gases.

This is where the differences from other inhaled substances become apparent. Cigarette smoke, for instance, contains a higher concentration of known carcinogens and a greater overall particulate load. While cannabis smoke contains fewer of these known harmful compounds, it still contains them, and the method of inhalation, often involving deeper and longer breaths to maximize cannabinoid intake, can exacerbate the impact.

This prolonged exposure can lead to a more significant accumulation of these particles within the lungs. Furthermore, the psychoactive compounds in cannabis, such as THC, can interfere with the body’s natural defense mechanisms, potentially making the lungs more vulnerable to infection and damage.The consequences of this interaction span a spectrum of immediate and long-term effects.

  • Immediate Consequences: The immediate effects often manifest as coughing, wheezing, and shortness of breath. The body’s defense mechanisms, such as increased mucus production, attempt to clear the irritants. However, this response can itself lead to further inflammation and airway constriction.
  • Potential Long-Term Consequences: Chronic exposure to cannabis smoke can lead to a variety of long-term health problems. These include:
    • Chronic Bronchitis: Characterized by persistent inflammation of the bronchial tubes, leading to a chronic cough and excessive mucus production.
    • Increased Risk of Lung Infections: The impairment of the immune response within the lungs can make individuals more susceptible to bacterial and viral infections, such as pneumonia.
    • Potential for Lung Cancer: While the link between cannabis smoke and lung cancer is still being researched, the presence of carcinogens in the smoke raises concerns about an increased risk, especially with long-term, heavy use.
  • Cellular Changes: The cellular changes include the damage and destruction of alveolar cells, as well as the alteration of the cells lining the airways. This damage can lead to a decrease in lung function and a higher risk of respiratory diseases.
  • Functional Impacts: These include reduced lung capacity, impaired gas exchange, and increased airway resistance. These changes can make it harder to breathe and can reduce overall physical performance.

Illustrative Example: The Journey of Cannabis Smoke in the Lungs, Does cannabis damage lungs

Imagine a single puff of cannabis smoke entering the lungs. The smoke, a swirling cloud of particles, navigates the branching airways and eventually reaches the alveoli. Within seconds, the heat from the smoke begins to irritate the delicate lining of the airways, triggering an immediate inflammatory response. The body’s defense mechanisms kick in, initiating a cascade of events.The first line of defense involves the production of mucus, a sticky substance designed to trap the foreign particles.

Simultaneously, tiny hair-like structures called cilia, which line the airways, begin to beat rhythmically, sweeping the mucus and trapped particles upwards towards the throat, where they can be swallowed or coughed out. However, the cannabis smoke’s impact can impair the cilia’s function, slowing down this clearance process.The alveolar walls, normally thin and flexible, become inflamed, making it harder for oxygen to pass into the bloodstream.

White blood cells, the body’s infection fighters, rush to the scene, attempting to clear the irritants and repair the damage. This immune response, while essential, can also contribute to the inflammation, further hindering gas exchange. Over time, repeated exposure to cannabis smoke can lead to chronic inflammation, cellular damage, and a decline in overall lung function. In severe cases, this can lead to the development of chronic respiratory diseases, such as chronic bronchitis or even an increased risk of lung cancer.

The process is complex, involving multiple interacting factors, and the severity of the impact depends on several variables, including the frequency and duration of cannabis use, the method of inhalation, and the individual’s overall health.

What are the specific chemicals in cannabis smoke that contribute to potential lung damage?

Does cannabis damage lungs

Cannabis smoke, much like tobacco smoke, is a complex cocktail of chemicals. While research is ongoing, it’s clear that several compounds present in cannabis smoke have the potential to negatively impact lung health. Understanding these components and their effects is crucial for making informed decisions about cannabis use.

Major Compounds in Cannabis Smoke and Their Impact

The smoke produced from burning cannabis contains a variety of chemicals, each with its own potential effects on the lungs. These can be broadly categorized into cannabinoids, terpenes, and combustion byproducts. The impact of these substances is an area of active research, and their effects can vary depending on factors like the method of consumption, the specific cannabis strain, and individual health characteristics.Cannabinoids, such as tetrahydrocannabinol (THC) and cannabidiol (CBD), are the primary active compounds in cannabis.

While they are responsible for the plant’s psychoactive and therapeutic effects, they also contribute to lung damage.

  • Cannabinoids: These compounds can irritate the airways and, in some cases, have been linked to chronic bronchitis-like symptoms. THC, in particular, can be a respiratory irritant.
  • Terpenes: Terpenes are aromatic compounds that give cannabis its distinctive smell and flavor. Some terpenes, such as limonene and myrcene, may possess anti-inflammatory properties. However, when inhaled as smoke, they can also contribute to airway irritation. The concentration of terpenes varies significantly between cannabis strains.
  • Combustion Byproducts: This category includes numerous harmful substances formed during the burning process.

The combustion process, regardless of the substance being burned, creates a host of harmful byproducts.

  • Polycyclic Aromatic Hydrocarbons (PAHs): These are known carcinogens, formed when organic materials are burned. They are also found in tobacco smoke and are associated with an increased risk of lung cancer.
  • Carbon Monoxide (CO): This odorless, colorless gas reduces the blood’s ability to carry oxygen, which can strain the cardiovascular system and lungs.
  • Particulate Matter (PM): Fine particles, including tar, are inhaled deep into the lungs. This can cause inflammation and increase the risk of respiratory diseases.

In contrast, tobacco smoke contains a similar array of harmful substances, including nicotine, which is highly addictive and contributes to cardiovascular and respiratory diseases.

Comparative Effects of Cannabis and Tobacco Smoke Components

Comparing the effects of different cannabis smoke components with those found in tobacco smoke can provide a clearer understanding of the potential risks.

Component Cannabis Smoke Effects Tobacco Smoke Effects Comparative Notes
Cannabinoids (THC, CBD) Airway irritation; Potential for chronic bronchitis-like symptoms. Not a primary component. Cannabinoids are unique to cannabis and have psychoactive effects.
Terpenes Airway irritation; Potential anti-inflammatory effects (depending on the specific terpene). Present, contribute to irritation. Terpene profiles vary greatly between cannabis strains and tobacco.
Polycyclic Aromatic Hydrocarbons (PAHs) Carcinogenic; Contribute to lung cancer risk. Carcinogenic; Significantly contribute to lung cancer risk. Both contain PAHs, but tobacco smoke generally has higher concentrations.
Carbon Monoxide (CO) Reduces oxygen transport; Can strain the cardiovascular system. Reduces oxygen transport; Significantly strains the cardiovascular system. Both contain CO, impacting oxygen delivery.
Particulate Matter (PM) Inflammation; Increased risk of respiratory diseases. Inflammation; Significantly increased risk of respiratory diseases, including COPD and lung cancer. Both contain PM, causing lung irritation and damage.

Research Methodologies Used to Study Cannabis Smoke and Lung Health

Understanding the impact of cannabis smoke on lung health requires various research methods. These methods have strengths and limitations.

  • Observational Studies: These studies observe groups of cannabis users and non-users over time. They help identify associations between cannabis use and lung health outcomes. Limitations: Cannot prove cause and effect; subject to recall bias.
  • Cohort Studies: This type of observational study follows a group of people (a cohort) over a period, observing who develops a particular outcome (like lung disease). Limitations: Expensive and time-consuming.
  • Case-Control Studies: These studies compare individuals with a disease (cases) to those without the disease (controls) to identify risk factors, such as cannabis use. Limitations: Subject to recall bias; difficult to establish a timeline of events.
  • Animal Studies: Experiments conducted on animals, like mice or rats, expose them to cannabis smoke to study its effects on the lungs. Limitations: Results may not directly translate to humans; ethical considerations.
  • In Vitro Studies: These studies involve exposing lung cells or tissues to cannabis smoke in a laboratory setting. Limitations: Simplified environment; does not fully replicate the complexity of the human lung.
  • Clinical Trials: These studies involve human participants and are designed to test the effects of cannabis use on lung function or other health outcomes. Limitations: Can be expensive and require large participant groups.

Are there different methods of cannabis consumption that may pose less risk to the lungs?

Does cannabis damage lungs

The way you choose to enjoy cannabis can significantly impact your lung health. While smoking has been the traditional method, a variety of alternatives have emerged, each with its own set of advantages and potential drawbacks. Understanding these different consumption methods is crucial for making informed decisions about how you choose to consume cannabis. Let’s delve into the specifics of each method and its implications.

Consumption Methods and Their Impacts

The methods of consuming cannabis vary widely, each presenting a different profile of potential risks and benefits. It is important to be aware of the nuances of each method to make informed choices.

  • Smoking: This involves burning cannabis flower or concentrates and inhaling the resulting smoke.
    • Benefits: Smoking offers a rapid onset of effects, providing quick relief for some users. The ritual of smoking can also be a social activity.
    • Drawbacks: Smoking exposes the lungs to harmful byproducts of combustion, including carcinogens and irritants. Dose control can be challenging, and the intensity of the effects can vary.
  • Vaping: Vaping involves heating cannabis oil or flower to create a vapor that is inhaled.
    • Benefits: Vaping often produces fewer harmful byproducts than smoking, as it avoids combustion. Dose control can be more precise, and the experience may be less irritating to the lungs.
    • Drawbacks: The long-term health effects of vaping are still being studied. Some vaping products may contain additives that pose health risks.
  • Edibles: Edibles are foods infused with cannabis.
    • Benefits: Edibles offer a discreet and smoke-free way to consume cannabis. The effects can last for several hours.
    • Drawbacks: The onset of effects is slower and can be unpredictable. It is easy to overconsume edibles, leading to unpleasant side effects.
  • Topicals: Topicals are creams, lotions, and balms infused with cannabis that are applied to the skin.
    • Benefits: Topicals do not involve inhalation and have localized effects, providing relief for certain conditions without psychoactive effects.
    • Drawbacks: The effects are localized and do not provide systemic relief. Absorption can vary depending on the product and the individual.
  • Tinctures: Tinctures are cannabis extracts taken sublingually (under the tongue).
    • Benefits: Tinctures offer a discreet and relatively fast-acting method of consumption. Dose control is often easier than with smoking or edibles.
    • Drawbacks: The taste can be unpleasant for some users. The effects are not as rapid as smoking but faster than edibles.

Processing Differences and Lung Exposure

The way the body processes cannabis differs significantly depending on the consumption method, which directly impacts lung exposure. Consider this:

When you smoke cannabis, the active compounds are absorbed directly into the bloodstream through the lungs. This results in a rapid onset of effects, but also exposes the lungs to the byproducts of combustion.

With edibles, the cannabis is metabolized in the liver, converting it into a different compound (11-hydroxy-THC), which produces a more intense and longer-lasting high, but does not directly expose the lungs. Vaping, which avoids combustion, generally reduces exposure to harmful compounds, but the specific components of the vapor and their long-term effects are still under investigation. Tinctures are absorbed through the mucous membranes in the mouth, bypassing the lungs, offering a more controlled experience.

Can cannabis use worsen existing respiratory conditions or contribute to new ones?

It’s a critical question, especially for those already navigating the challenges of respiratory ailments. While the allure of cannabis for symptom management is undeniable, understanding its potential impact on lung health is paramount. This section delves into how cannabis use might exacerbate pre-existing conditions and even pave the way for new ones, providing a comprehensive view of the risks involved.

Exacerbation of Respiratory Conditions

Cannabis use can significantly worsen respiratory conditions, potentially leading to increased suffering and complications. Individuals with conditions like asthma, chronic bronchitis, and emphysema are particularly vulnerable. The mechanisms at play involve inflammation, immune responses, and the direct impact of smoke on the delicate lung tissues.The potential for cannabis to trigger or worsen these conditions stems from several factors.

  • Inflammation: Cannabis smoke, like tobacco smoke, can irritate and inflame the airways. This inflammation can worsen the symptoms of asthma, such as wheezing and shortness of breath, and contribute to the progression of chronic bronchitis and emphysema.
  • Immune Responses: Inhaling cannabis smoke can trigger an immune response in the lungs. This response, intended to protect the body, can sometimes become overactive, leading to further inflammation and damage.
  • Airway Damage: The heat and chemicals in cannabis smoke can directly damage the lining of the airways and the tiny air sacs (alveoli) in the lungs. This damage can make it harder to breathe and increase the risk of developing respiratory infections.

Medical experts have voiced concerns regarding the effects of cannabis on respiratory health, supported by a growing body of research.

“The chronic use of cannabis is associated with an increased risk of chronic bronchitis, and there is evidence suggesting a link between cannabis smoking and the development of emphysema.”

  • Dr. Donald Tashkin, a leading researcher in the field, whose work has been instrumental in understanding the respiratory effects of cannabis. His research, published in journals such as the
  • American Journal of Respiratory and Critical Care Medicine*, has consistently highlighted the adverse effects of cannabis smoke on lung function. Further studies, including those published in
  • The Lancet* and the
  • New England Journal of Medicine*, have corroborated these findings, indicating a clear association between cannabis use and respiratory problems. These studies have observed that regular cannabis users often experience symptoms such as chronic cough, sputum production, and wheezing, similar to those seen in tobacco smokers.

How does the frequency and duration of cannabis use influence the risk of lung damage?

The relationship between how often and for how long someone uses cannabis, and the potential for lung problems, is a complex one. It’s not as simple as saying “more use equals more damage.” Several factors intertwine to influence the impact on lung health. Understanding these factors helps paint a clearer picture of the risks involved.

Dose-Response Relationship in Cannabis Use

The amount of cannabis consumed, the frequency of its use, and the duration over which it’s used all play a role in the likelihood of developing respiratory issues. This is often described as a “dose-response relationship.” In essence, the greater the exposure to cannabis smoke (or its components), the higher the potential risk.Here’s a breakdown:* Amount Consumed (Dose): This refers to the quantity of cannabis used in a single session.

Higher doses, especially if frequently inhaled deeply, expose the lungs to more irritants and potential carcinogens. Think of it like this: the more smoke you inhale per puff, the more your lungs are exposed to harmful substances.

Frequency of Use

How often someone uses cannabis significantly impacts risk. Daily or near-daily use likely poses a greater risk than occasional use. This is because the lungs are repeatedly exposed to cannabis smoke, preventing them from fully recovering between exposures.

Duration of Use

The longer someone uses cannabis, the more their lungs are exposed to its effects. Long-term use, spanning years or even decades, allows cumulative damage to occur. The longer the exposure, the greater the potential for chronic lung problems to develop.The dose-response relationship can be illustrated in the following table:

Frequency of Use Duration of Use Potential Respiratory Problems
Occasional (e.g., monthly) Short-term (e.g., less than a year) Low risk. May experience mild, temporary symptoms like cough or wheezing.
Frequent (e.g., weekly) Short-term to Moderate (e.g., 1-5 years) Moderate risk. Increased chance of chronic bronchitis, airway inflammation, and cough.
Daily or Near-Daily Long-term (e.g., 5+ years) High risk. Elevated risk of chronic bronchitis, emphysema, lung cancer, and other severe respiratory issues.

The above table is a simplification, of course. Individual responses vary, and other factors come into play. But it gives a general idea of the trends. For instance, consider the case of John, a long-term daily cannabis user for over 10 years. He began experiencing chronic bronchitis and a persistent cough.

His risk profile placed him in the high-risk category. In contrast, Sarah, who used cannabis occasionally for a few months, showed no significant respiratory issues. This contrast underscores the importance of both frequency and duration.

Factors that Modify the Risk of Lung Damage

Several factors can modify the risk of lung damage from cannabis use, making it a more personalized risk assessment. These factors, interacting with frequency and duration, contribute to an individual’s overall lung health outcomes.Here are some key modifiers:

  • Genetics: Some people may have a genetic predisposition to lung diseases, making them more susceptible to the harmful effects of cannabis smoke.
  • Overall Health: Individuals with pre-existing respiratory conditions (such as asthma or COPD) or weakened immune systems may experience exacerbated symptoms and a faster progression of lung damage.
  • Exposure to Other Environmental Pollutants: Concurrent exposure to tobacco smoke, air pollution, or occupational hazards (e.g., dust, chemicals) can synergistically increase the risk of lung damage.
  • Method of Consumption: The way cannabis is consumed can influence the risk. For instance, smoking cannabis exposes the lungs to more harmful byproducts compared to vaporizing.
  • Cannabis Potency: Higher-potency cannabis products may deliver a greater dose of active compounds, potentially increasing the risk of adverse effects.
  • Individual Metabolism: How quickly someone’s body processes and eliminates cannabis and its byproducts can influence the impact on lung health.

For example, consider two individuals who use cannabis daily. One is a healthy non-smoker living in a rural area (low pollution), and the other has asthma, smokes tobacco, and lives in a city with high air pollution. The second individual faces a significantly higher risk of lung damage due to the combined effects of multiple risk factors.

Are there specific populations more vulnerable to the effects of cannabis smoke on the lungs?: Does Cannabis Damage Lungs

Let’s face it, your lungs are your life’s best friends, working tirelessly to keep you breathing easy. But when cannabis smoke enters the picture, not everyone’s lungs react the same way. Some folks are more susceptible to the potential pitfalls than others. Understanding these vulnerabilities is key to making informed decisions about cannabis use, especially for those in higher-risk groups.

Vulnerability Differences Across Demographics

The impact of cannabis smoke on lung health isn’t a one-size-fits-all scenario. Certain populations face heightened risks due to factors like ongoing lung development, compromised immune systems, and the presence of existing health conditions. These vulnerabilities can lead to more pronounced adverse effects compared to the general population.For instance, young people whose lungs are still growing, are at increased risk of long-term damage.

The elderly, with potentially weakened respiratory systems, may experience more rapid decline. And individuals with pre-existing lung conditions find their symptoms exacerbated. It’s like building a house on shaky ground – any additional stress can lead to serious structural issues.

Comparative Risks in Population Groups

Understanding the varying levels of risk among different groups is essential. Here’s a comparison table highlighting the specific risks faced by different populations when exposed to cannabis smoke:

Population Group Lung Development/Function Specific Risks Contributing Factors
Adolescents Lungs still developing; increased cellular turnover Increased risk of chronic bronchitis, airway inflammation, and potential for impaired lung growth. Higher likelihood of addiction. Immature respiratory system, increased susceptibility to irritants, and higher rate of cannabis use.
Elderly Age-related decline in lung function; potential for weakened immune response Exacerbation of pre-existing respiratory conditions (COPD, asthma), increased risk of infections, and potentially accelerated decline in lung function. Reduced lung elasticity, weakened immune system, and increased likelihood of co-morbidities.
Individuals with Pre-existing Conditions Compromised lung function (asthma, COPD, cystic fibrosis) or weakened immune systems Worsening of symptoms, increased frequency of exacerbations, and potential for accelerated disease progression. Inflammation and irritation from cannabis smoke can trigger or worsen existing respiratory issues.
Pregnant Individuals Fetal lung development; changes in maternal physiology Potential for impaired fetal lung development, increased risk of low birth weight, and respiratory complications in the newborn. Exposure to smoke and potential systemic effects of cannabis compounds on both mother and fetus.

Relevant Study Examples

Numerous studies have explored the specific vulnerabilities of these populations.* Adolescents: A study published in theJournal of the American Medical Association* (JAMA) followed a cohort of adolescents over several years, correlating cannabis use with reduced lung function and increased respiratory symptoms. The methodology involved repeated pulmonary function tests and questionnaires to track changes in lung health. The findings indicated that regular cannabis use during adolescence was associated with measurable impairments in lung function, including reduced forced expiratory volume in one second (FEV1), a key indicator of lung health.* Elderly: Research published in theEuropean Respiratory Journal* investigated the effects of cannabis use on elderly individuals with pre-existing COPD.

This study used a combination of patient interviews, medical records review, and pulmonary function tests to assess the impact of cannabis smoke on lung function and exacerbation rates. The results showed a significant increase in the frequency and severity of COPD exacerbations among elderly cannabis users compared to non-users.* Individuals with Pre-existing Conditions: A study published in theChest* journal focused on the impact of cannabis use on individuals with asthma.

The researchers used a cross-sectional study design, surveying asthmatics about their cannabis use and respiratory symptoms. They found that cannabis use was associated with an increased risk of asthma attacks and a higher need for rescue medication, suggesting that cannabis smoke can worsen asthma control.

What are the signs and symptoms of potential lung damage related to cannabis use?

Lungs: Does Weed Affect Your Lungs

Let’s talk about recognizing potential lung problems linked to cannabis. It’s crucial to understand what your body might be telling you if something isn’t right. Early detection can make a huge difference in managing and mitigating any potential issues. Keep in mind, this information is for educational purposes and doesn’t replace professional medical advice. Always consult a healthcare provider for any health concerns.

Respiratory Symptoms Indicating Potential Lung Damage

Several respiratory symptoms might signal that cannabis use could be impacting your lungs. These symptoms, if persistent or worsening, warrant medical attention. They aren’t definitive proof of lung damage, but they serve as important indicators that something might be amiss.

  • Chronic Cough: A persistent cough, especially one that produces mucus, is a common early warning sign. It’s often worse in the morning and can be a sign of irritation in the airways.
  • Wheezing: This whistling sound during breathing suggests narrowed airways. It can indicate inflammation or obstruction in the lungs.
  • Shortness of Breath: Difficulty breathing or feeling like you can’t get enough air, particularly during exertion, is another concerning symptom.
  • Chest Tightness: A feeling of pressure or constriction in the chest can also be associated with lung problems.
  • Increased Mucus Production: Excess mucus, especially if it’s thick or discolored, can be a sign of inflammation or infection in the lungs.

Diagnostic Methods for Assessing Lung Health

Various diagnostic tools are available to evaluate lung health. These tests help healthcare professionals identify the nature and extent of any potential damage.

  • Spirometry: This is a common test that measures how much air you can inhale and exhale, and how quickly. It helps assess lung function and can identify conditions like asthma or COPD. Imagine blowing into a device to see how well your lungs are working. The results provide a detailed picture of your lung capacity and airflow.
  • Chest X-rays: These images can reveal structural changes in the lungs, such as inflammation, fluid buildup, or other abnormalities. Think of it as a snapshot of your lungs, allowing doctors to spot any unusual features.
  • CT Scans: A more detailed imaging technique than X-rays, CT scans provide cross-sectional images of the lungs. They can detect subtle changes and identify potential problems that might be missed by other tests. This provides a comprehensive view of the lungs, allowing for a more thorough evaluation.
  • Bronchoscopy: This procedure involves inserting a thin, flexible tube with a camera into the airways to visually inspect the lungs and collect samples if needed.

Early Detection and Intervention

Early detection and intervention are critical in managing potential lung damage. Recognizing the symptoms and seeking prompt medical attention can significantly improve outcomes.

“Early intervention can prevent a minor issue from becoming a major one.”

If you experience any of the symptoms mentioned, consult a healthcare professional. They can evaluate your condition, order appropriate tests, and recommend a suitable treatment plan. Don’t hesitate to seek advice. Your health is the most important thing.

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