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In 2018, NAP published a review which states there is insufficient or no available evidence that vaping is associated with changes in the following functions:[21] Long-term changes in heart rate Changes in blood pressure Altered cardiac function Respiratory disease For pregnant women fetal development But since 2018, reports from the CDC has associated vaping with respiratory disease

And as of December 20, 2019, you must be 21 years old in the United States to purchase a tobacco product

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