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At the first visit: 34 percent reported dual substance use 4 percent reported exclusive cannabis use 35 percentreported e-cigarette use without cannabis 28 percent reported no substance use By the second visit, 59 percent of participants reported cannabis use: 29 percent vaped cannabis 28 percent smoked cannabis 51 percent consumed edibles 32 percent used CBD products 4 percent used topical cannabis Frequency and intensity differed by product type