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The latter, which significantly increased the odds of developing APE (aOR 2.54), may reflect the systemic physiological stress induced by acute brain injury, including sympathetic overactivation and hypothalamicpituitaryadrenal axis dysfunction [16]

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However, given the cross-sectional design of the study, causal or directional inferences cannot be drawn

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Incidents have been reported across the country, including cases in New York, Washington State, and Georgia, where students required emergency treatment after exposure to fentanyl-laced vape products