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lets understand the reasoning behind that

What is legal in other countries might be illegal in Japan

According to the World Health Organization (WHO), vaping is harmful to health and are not considered safer alternatives to regular cigarettes 1

Yes, it can cause a sudden rise in eye pressure that needs fast help from a doctor

Factors are all information, including processes and strategies (but not evidentiary standards), that a group health plan (or health insurance issuer offering coverage in connection with such a plan) considered or relied upon to design a nonquantitative treatment limitation, or to determine whether or how the nonquantitative treatment limitation applies to benefits under the plan or coverage