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According to the irritating the throat and lungs increasing inflammation, or swelling, in the airways increasing airway resistance, creating less room for air to move in and out leading to hyperinflation, which occurs when air gets trapped inside the lungs, making it more difficult for the body to pull in fresh air damaging or scarring small blood vessels in the lungs According to the coughing wheezing overproduction of phlegm Some studies indicate that smoking cannabis may cause or worsen other lung conditions

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Substance use disorders involve functional changes to brain circuits involved in reward, stress, and self-control on the brain, Goldstein RZ, Volkow ND

The one-word answer to this question is simply convenience. With a one hitter, you can easily and discreetly take a puff whenever you want to, no matter where you are (within reason, of course)