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I've changed the rating to a solid 4

doi: 10.3389/fpsyt.2023.1134079 Received 29 December 2022 Accepted 31 July 2023 Published 14 August 2023 Volume 14 - 2023 Edited by Kristine C-Y McGrath, University of Technology Sydney, Australia Reviewed by Kabirullah Lutfy, Western University of Health Sciences, United States

In pre-Hispanic Mesoamerica it was a common material for making ribbons, ropes and other objects

This is due to differences in burning conditions: sidestream smoke is produced at lower temperatures and with less oxygen, resulting in higher alkalinity and water content

It is not merely a warning but a scientifically proven fact supported by decades of medical research