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A common flavoring in e-cig vapor called diacetyl has been linked to severe respiratory impairment and an irreversible lung disease called popcorn lung, or bronchiolitis obliterans, when inhaled, according to the National Institute for Occupational Safety and Health (NIOSH)

Cat Z also responded to actinidine, but the responses were much less frequent and shorter in duration compared to cat A

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It is important to note that many of these posts discussed using tianeptine as part of a stack, which refers to an individuals preferred combination of substances

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others follow Bleuler in supposing that it is related to schizophrenia