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A DRE conducts a 12-step evaluation, including: Measuring pulse, blood pressure, and pupil size Checking muscle tone and reaction to light Reviewing medical history and statements Conducting psychophysical tests Requesting a blood test to detect THC levels These evaluations can be highly subjective

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Ethics declarations This study was approved by the Institutional Review Board (IRB) of the University of Texas Health Science Centre at Houston (UTHealth Houston) School of Public Health, USA and Johns Hopkins University, USA (IRB no

Vaping relies on an electronic device known as a vape or e-cigarette