Important Use Note
Juul and other companies now see the chance to directly compete with disposable Chinese vapes, which by some estimates account for 80% of U.S
The ICD-10-CM defines dependence as requiring behavioral indicators such as: Strong desire or compulsion to use the substance Difficulty controlling use Continued use despite harm Higher priority given to substance use than to other activities Evidence of tolerance or withdrawal (although not required for the uncomplicated specifier) The ICD 10 code for cannabis dependence, F12.20, is used when the criteria for dependence are present without physiological complications such as withdrawal or psychotic symptoms

Author Information Corresponding Author: Cristian Alfonso Galarza Snchez Department of Internal Medicine Clnica Abendao, Loja, Ecuador Email: [email protected] Co-Authors: Yulissa Michelle Chocho Gutirrez Department of General Medicine Clnica Sanus, Ecuador Marjorie Salome Cevallos Esparza General Practitioner (Hospital Functions) Solca Hospital, Loja, Ecuador Joel Asdrbal Rodrguez Gutirrez Department of Family Medicine Mexican Institute of Social Security (IMSS, Mxico) Carlos Fernando Chuchuca Pardo General Practitioner (Hospital Functions) Jos Carrasco Arteaga Specialty Hospital, Ecuador Wilman Roberto Uchuari Lalangui General Practitioner Clnica Sanus, Ecuador Authors Contributions Yulissa Michelle Chocho Gutirrez participated in the clinical care of the patient, data collection, and initial drafting of the manuscript
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Maintenance : Regular cleaning of your grinder prevents residue buildup and maintains optimal performance