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According to the CDC, the culprit is not Juul pods but the vitamin E acetate found in unregulated THC vape cartridges

This is a factor of socioeconomic status

Visit the Substance Abuse and Mental Health Services Administration website or contact SAMHSA's National Helpline at 1-800-662-HELP (4357)

Finally, smokers with CD represent a challenge to clinicians and can be a source of frustration given their adverse disease prognosis and perceived poor health behavior