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There are several plausible explanations for this finding

(2024, August 26)

Polysubstance abuse occurs when you use multiple substances, such as alcohol, prescription drugs, and illicit substances, at the same time or in close succession

The warnings came a year-and-a-half after Surgeon General Luther Terry announced the findings of a groundbreaking study: "It is the judgment of the Committee that cigarette smoking contributes substantially to mortality from certain specific diseases and to the overall death rate." The warning labels were a warning shot across the bow for an industry that for years had entrenched itself in both our national economy and popular culture