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doi: 10.1056/nejmoa1102873 6 AssociationAL

3,5 Although self-reported smoking status helps identify most smokers, data suggest that a fair number of patients--ranging from 1.4% in broadly based epidemiologic studies to as high as 35% in populations in which smoking is a known risk factor--self-report inaccurately owing to a variety of factors such as misunderstanding, intentional deception, embarrassment, denial, and shame

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Smoking drugs unintended to be inhaled can also increase your chances of overdose since theres no real way to regulate how much smoke enters your lungs

PMID 9391127

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