this post was submitted on 18 Sep 2023
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The outbreak was caused by vitamin E acetate used as "cut" in black-market cartridges. Legal regulated cartridges do not contain any "cut" at all.
Yes and no; for reasons that are beyond me the door has been left somewhat open on that one:
“Vitamin-E acetate (VEA) is found in counterfeit cartridges and bronchoalveolar lavage fluid of EVALI patients. Other reports implicated the presence of aromatic/volatile hydrocarbons and oils consisting of medium-chain triglycerides (MCT oil), including terpenes and mineral oil in tetrahydrocannabinol (THC) containing counterfeit vaping products. These compounds are involved in oxidative stress and inflammatory responses in the lung. Here, we provide the perspectives on the recent case reports on EVALI, etiology, and discuss pulmonary toxicity as well as the mechanisms underlying EVALI susceptibility and lung pathophysiology.”
But the cutting agent certainly seems to have been pretty bad.