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Lung damage in those using e-cigarettes might be caused by chemicals in the vape liquid, according to a letter in the New England Journal of Medicine.

Doctors at the Mayo Clinic examined samples of lung tissue from 17 patients who fell ill after vaping nicotine or marijuana products.

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"It seems to be some kind of direct chemical injury, similar to what one might see with exposures to toxic chemical fumes, poisonous gases and toxic agents," said Dr. Brandon Larsen.

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