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Cotinine: Cotinine is a metabolite of nicotine, and its presence in urine indicates recent tobacco or nicotine product use

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Acute and short-term effects of secondhand smoke on lung function and cytokine production

Further, while social circumstances, genetic predisposition, environmental exposure, and behavioral patterns impact premature death, data shows that the single greatest opportunity to improve health and reduce premature death is personal behavior (the New England Journal of Medicine refers to obesity and inactivity and smoking as behavioral problems), which accounts for nearly 40 percent of all deaths in the US

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