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Some of them are normal and some are due to water damage from leaks

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He said, "Effectiveness remains a critical factor in recommending cultural and region-specific methods to combat smoking, advocating the need for science-backed policy-making to arm doctors with safer options against tobacco addiction

However, the US Centers for Disease Control and Prevention has warned that e-cigarettes can cause serious acute lung injuries, termed e-cigarette or vaping product use associated lung injury (EVALI), and suggested that these injuries are attributable to tetrahydrocannabinol (a psychoactive ingredient in marijuana regulated in Japan), cannabidiol (CBD), and vitamin E acetate present in e-liquids