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Semah is one of our most sacred medicines and is used for ceremony in many ways, such as in the Sacred Pipe as an offering for prayers, to request teachings, to the Land and Medicine Spirits when harvesting plants, or when taking the life of an animal for food and tools

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The higher the frequency of tobacco smoking in any form, higher the risk of poor glucose control

These are in no way risk-free, but compared to cigarettes and roll-ups, they offer: Cleaner doses of nicotine Affordability and freedom from smoke Additionally, they offer higher nicotine absorption rates and doses

fatigue and decreased concentration