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It also works so efficiently that it never had to kick into high gear unless we actively created smoke around it

Its not alleged

Here's how it worked: If you exhaled prematurely when you were with the Choom Gang, "you were assessed a penalty and your turn was skipped the next time the joint came around." As one of Obama's old high school buddies tells Maraniss: "Wasting good bud smoke was not tolerated." Another Obama innovation: "Roof Hits." "When they were chooming in a car all the windows had to be rolled up so no smoke blew out and went to waste

Exclusion criteria were pregnancy, history of hysterectomy or trachelectomy, and history of cervical intraepithelial neoplasia grade 2 or higher

References NHS