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A confirmed positive marijuana result triggers immediate and serious consequences regardless of the claimed cause: removal from safety-sensitive duties, reporting to the FMCSA Drug and Alcohol Clearinghouse, potential CDL downgrade, mandatory SAP evaluation, and completion of the full Return-to-Duty process

Smoking both traditional and e-cigarettes may carry same heart risks as cigarettes alone By American Heart Association News Smokers who think they can lower their risk for cardiovascular disease by sometimes smoking e-cigarettes instead of traditional ones might need to think again: A new study finds people who use both have the same cardiovascular disease risks as those who only smoke traditional cigarettes

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