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Pain medication effectiveness decreases, bleeding may restart, and healing delays significantly

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For some, physical symptoms like headaches, increased coughing, and feeling generally under the weather are common

Among current users, 15.9% smoked midwakh daily, and daily users reported a median of eight midwakhs per day compared with 3.8 per month among non-daily users, indicating that most adolescent midwakh consumption in this survey was concentrated among daily smokers