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The current evidence is insufficient but the CDC reported a strong association between these cases and vitamin E acetate, which is an additive in some THC-containing e-cigarettes and might interfere with normal lung function when inhaled

Fatigue and Weakness : Fatigue and weakness are common symptoms of liver disease and occur due to the liver's inability to remove toxins from the body

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Activity restrictions: Avoid strenuous activities, heavy lifting, and reaching overhead for several weeks to allow proper healing

Therefore, they should undergo interventions that are more intensive than standard smoking cessation programs