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Of all the included studies, only seven evaluated the effects of electronic cigarettes in a healthy non-tobacco smoking population, these studies revealed significant effects, including increases in heart rate, mean arterial blood pressure, arterial stiffness, and oxidative stress, as well as respiratory system changes such as alterations in the transcriptomes of the respiratory epithelium and alveolar macrophages, and a sudden increase in airflow resistance suggesting airway obstruction

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They look for THC metabolites

If youre taking any of the meds mentioned above and notice difficulty speaking, talk to your doctor

Cochrane Reviews are based on randomised controlled trials (RCTs) and are generally considered to be the highest standard of evidence in medicine