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Sharp pricking sensation to severe pain Local numbness Reduced blood flow Bluish skin Tissue damage Weakness Sweating Vision changes Overall muscle paralysis Breathing problems Cardiovascular collapse Coma Numbness (milder stings) Sensation of tingling (milder stings) Inability to move limbs (milder stings) Testing for Cone Snail Toxicity The selection of the right laboratory tests largely depends on the patients symptoms and any urgent health conditions that develop during their hospital stay

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Results: We identified 60,285 e-cigarette users and 60,285 matched non-users (Table 1)