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Conclusion Vaping is not illegal in California, but the states regulatory environment is among the strictest in the U.S

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Numbers or letters after T, N and M provide more details about each of these factors

It seems to be some kind of direct chemical injury, similar to what one might see with exposures to toxic chemical fumes, poisonous gases and toxic agents, says Brandon Larsen, M.D., Ph.D., a surgical pathologist at Mayo Clinic Arizona, and a national expert in lung pathology