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This is, of course, a false dichotomy

Dresden: Technische Universitt Dresden (2016)

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Sales channels have also evolved to meet this demand by deepening convenience stores and online offerings

Patients may not readily admit that theyre using the material, but if a radiologist recognizes these patterns and then tells the clinician that it could be vaping-induced injury, then maybe they could test for a nicotine metabolite or ask the patient about this exposure. Such an approach could help reduce lung biopsies, which carry considerable expense, some risk of complications and additional anxiety for the patient

Ranking in pack-years and discounted pack-years was somewhat more consistent, but there were exceptions, such as Portugal which ranked 28th in pack-years and 17th in discounted pack-years)