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My best guess since were still learning about what is really going on in the lungs is [its a] profound inflammatory reaction to the vape products or some...component of the vape products, Melamed told ABC News' Adrienne Bankert for "Nightline." Still unable to breathe after two days, Herman had to be put on a ventilator, and shortly afterward, a medically induced coma

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This makes cotinine testing a more accurate way to measure nicotine exposure, whether from direct use or secondhand smoke