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The samples [were] collected directly from consumers, hospitals, and from state offices include vaping devices and products that contain liquid as well as packaging and some nearly empty containers. He cautioned that identifying the substance is but one piece of the puzzle and will not necessarily answer questions about causality. He also noted that the self-reports of THC and/or nicotine could mean that there is misreported data, because reports in many cases are coming from teens and from jurisdictions in which THC is not legal.

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However, the harmful chemicals in tobacco smoke can disrupt hormone production

Many of these chemicals bind to DNA in a smokers cells, and may either kill the cells or cause mutations

15 Gelenberg, A