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Relevant XKCD: https://xkcd.com/2071/
Not directed at you, OP, but rather the poster in the image. What insane Internet circles are they in that this is the content they’re seeing?
It’s because those darn kids on the Tic Tacs with their marijuana drug cigarettes.
The original OP is a doctor so he’s probably getting these kids showing up in his service and went on tik tok to see what it was about.