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Insurance companies typically define smokers broadly, often including anyone who has consumed tobacco or nicotine products, such as cigarettes, cigars, chewing tobacco, e-cigarettes or vaping devices, at any point during the past 12 months

JAMA 325 , 265279 (2021)

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It is now recommended to not add vitamin E acetate to any e-cigarette products, and the incidence of EVALI has thankfully fallen significantly, to the point that the disease may be associated with the vitamin E and not the cannabis, but this is not yet completely clear