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Massachusetts and California are further hampered by a preemption provision in the Tobacco Control Act that says states can enact laws more stringent than the federal law with regard to sales, marketing, and distribution but not ones that relate to tobacco product standards

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(2020) observed increased platelet and endothelial derived extracellular vesicles 4 h following exposure to inhalation of e-cigarettes with nicotine, which is consistent with activation of platelets by acute e-cigarette exposure

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