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For patients who still choose spliffs, consider these approaches to minimize risk and maintain dosing accuracy: Consistent ratios use the same cannabis-to-tobacco ratio every time for predictable dosing Separate tracking monitor cannabis and nicotine effects independently in your dosing journal Lower frequency use spliffs less often than you would pure cannabis to avoid nicotine dependence Medical supervision discuss tobacco use with your cannabis physician, especially if you have cardiovascular or respiratory conditions Many patients find that herbs to mix with cannabis provide similar burning benefits to tobacco without the addiction risks or health complications

The report from the National Academies of Sciences, Engineering and Medicine was commissioned to be a definitive look at the harms and potential benefits of electronic cigarettes, which are used by millions of people