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Participants with predominantly-therapeutic use performed 0.03 standard deviations better than participants with predominantly-recreational use in age- and WTAR-adjusted analyses ( = 0.03, 95% CI = 0.30, 0.37, p = 0.85)

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and (ii) what role do pretend-conversations, sometimes extending over multiple lines of exchange, and often including images as turns in an exchange, play in memes and other social media discourse