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Patients may not readily admit that theyre using the material, but if a radiologist recognizes these patterns and then tells the clinician that it could be vaping-induced injury, then maybe they could test for a nicotine metabolite or ask the patient about this exposure. Such an approach could help reduce lung biopsies, which carry considerable expense, some risk of complications and additional anxiety for the patient

[146] A 2016 WHO report found that acetaldehyde from second-hand vapor was between two and eight times greater compared to background air levels

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