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"It's kind of like when you were in the first grade and the seniors that year are always the seniors," she tells PEOPLE

Misoprostol is a prostaglandin-like substance commonly used to counteract the ulcerogenic effects of NSAIDs

There is a simple reason for its continued success: the multinational tobacco companies are masterful at keeping both their supply chains and finances almost entirely opaque, emboldened by the criminality that is hardwired into its very DNA

There was a similar case in the UK last year, reported in the British Medical Journal, in which a woman developed lipoid pneumonia and the only explanation doctors could come up with was vaping