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The relatively stable co-use trends may reflect substitution dynamics whereby some individuals replace cigarettes with cannabis, preventing co-use from rising in tandem with cannabis-only use. Other researchers have also separately observed a similar trend where cannabis is increasingly used as an alcohol substitute

The authors extend their heartfelt thanks to Dr

Tabwa shamans smoke lubowe ( Amaranthus dubius ), a plant said to help shamans see invisible spirit sorcerers, even though there are no reports of the substance being hallucinogenic