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It is used as a biomarker for SHS, as it is a metabolite of nicotine-derived nitrosamine ketotone (NNK), and is a tobacco-specific nitrosamine (TSNA) 23
Meta-analysis of the association of maternal smoking and passive smoking during pregnancy with neural tube defects
E-cigarettes, synthetic nicotine, heated-tobacco and smokeless nicotine delivery products: the nicotine landscape beyond combustible cigarettes
Nonetheless, the United States Smokeless Tobacco Company (UST), makers of Skoal and Copenhagen, has succeeded in promoting its products as a safe alternative to cigarettes
To date, there are minimal to no reports of vape products causing stomach problems to former smokers looking to quit
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