As a result of declining production of good quality leaves in HICs, producers in LMICs have improved the quality of leaf they grow and have received increased farm gate prices
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At the broncho alveolar lavage fluid (BAL) of affected patients the most commonly found substances appeared to be tetrahydrocannabinol (THC) and/or vitamin E acetate, the presence of lipid-laden macrophages seen with oil red O staining has been reported as well [22, 23]
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