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Although the presence of carcinogenic agents in ENDS liquid and vapour has been shown to induce DNA strand breaks and gene alteration, it is important to note there is not sufficient evidence to infer a causal relationship

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They can help determine the specific cause of the headaches and recommend appropriate management strategies.

Despite the established CDC criteria to assist in identifying EVALI cases, there are a variety of respiratory diseases that may present similarly or even in association with EVALI [15, 19]

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