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This ongoing presence of nicotine and its metabolites in the bloodstream could explain why seizures can occur several hours after vaping, Additionally, variations in individual metabolism, genetic polymorphisms affecting nicotine metabolism, and the presence of other substances in e-cigarette liquids could influence the timing and severity of seizure presentations

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For fractures, we used binary exposure, because there were few studies examining intensity or duration of smoking on fractures

More specifically, the rate of death and disease from menthol tobacco use in African American and Black communities has been devastating