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[45] The CDC states that vitamin E acetate is a very strong culprit of concern in VAPI, having been found in 29 out of 29 lung biopsies tested from ten different states, [29] but evidence is not yet sufficient to rule out contribution of other chemicals of concern to VAPI

Where these cig-a-likes tend to suffer, though, is in the fact that the mainstream brands almost always use refill liquids made in China

Preventative Services Task Force