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Additionally, nicotine is broken down into several byproducts, primarily cotinine, by the liver, and both nicotine and cotinine are used in testing to determine recent use of nicotine products

PMID: 30245461

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Given the large population size of 31 million secondary students in China in 2021 and the negative short-term/long-term consequences due to smoking/vaping, the potentially large absolute number of adolescent smokers/vapers suggests the need for interventions in reducing adolescent SV

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(3) Break the tube's ampoule in the presence of the employee