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Local law enforcement variability: Medical authorization may influence outcomes when local airport police respond in states with medical programs: Officers may choose not to pursue charges if the patient possesses amounts within state medical limits Medical documentation can demonstrate state-law compliance However, this represents discretionary enforcement rather than legal right to fly with cannabis State reciprocity limitations: Medical marijuana reciprocity (when one state recognizes anothers patient cards) applies only to purchasing cannabis within the reciprocal state, not to transporting it across state lines: Limited reciprocity examples: Arkansas: Out-of-state patients must apply online 14 days in advance and pay a $50 non-refundable fee for a 90-day visitor pass allowing Arkansas dispensary purchases Hawaii: Visitors may apply for a 329V visitor card online prior to arrival, valid for 60 days and permitting Hawaiian dispensary purchases Oklahoma: Offers temporary visitor licenses for $100, valid 30 days, allowing purchases within Oklahoma The only legal approach for medical patients: Travel without cannabis and purchase at destinations using reciprocity programs where available

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In the meantime, tell your cardiologist if you are vaping to ensure we understand your complete risk profile.