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His cardiac exam was normal except for diminished pulses in his feet

But here's the truth

Vape pens come in many shapes and sizes, but they all work based on the same principle: A battery-powered core heats and then rapidly cools a vape liquid, also called e-liquid or vape juice, creating a smoke-free aerosol that a user inhales, or "vapes." Vape juice can contain nicotine that's either synthetic or derived from tobacco, but it doesn't contain tobacco leaves or other chemicals found in the plant

Over time, this can lead to debilitating conditions such as chronic obstructive pulmonary disease, which can significantly affect daily life and health

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