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Moreover, a longitudinal cohort study found a RR of 1.36 (95% CI: 0.553.39) for current e-cigarette users, further corroborating the link between vaping and COPD risk

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Studies using salivary cotinine found that a significant proportion of blunt smokers who reported no tobacco use still showed measurable nicotine exposure, confirming the outer leaf transfers nicotine during smoking tobacco-wrapped cannabis

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