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The exact mechanism of vitamin E acetatemediated pulmonary toxicity is unknown, but it is thought to interfere with pulmonary surfactant function.[11] One study found vitamin E acetate and tetrahydrocannabinol in the bronchoalveolar lavage fluid in 94% of EVALI patients;[10] other studies found 77% to 84% of EVALI patients reported using tetrahydrocannabinol-based products.[10,49,51] It is important to note that vitamin E acetate is present mainly in tetrahydrocannabinol-containing e-liquids purchased on the black market, not in nicotine-containing e-liquids purchased through licensed businesses.[12] Therefore, the risk of EVALI is likely low among users of commercially available nicotine-only e-liquids

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Inspect Secondhand Items Before bringing secondhand furniture, mattresses, or clothing into your home, thoroughly inspect them for signs of bed bugsincluding live bugs, eggs, or dark stains on the fabric

Medications: Your doctor may recommend drugs such as bronchodilators, corticosteroids, or cough suppressants to help control the symptoms of a smokers cough depending on the severity of the disease