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The state enforces these rules through both civil and criminal penalties, supported by regular inspections of retailers, wholesalers, and distributors, as well as monitoring of online vape sales to ensure compliance

Other potential contributors include lifestyle choices, genetic predispositions, and even random errors during cell division

No one has time to dismantle a thousand Esco Bars. ___ AP video journalist Joseph Frederick contributed to this story from New York ___ Follow Matthew Perrone on Twitter: @AP_FDAwriter ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institutes Science and Educational Media Group

Meet Emily EMILY MCFARLING, ESQ