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The answer is not a clear yes or no but a mix of short-term effects and long-term health effects

According to the studys authors, the cotinine urine test provided high sensitivity and specificity for smoking in at least the previous 72 hours

Type of tobacco products In recent years, non-combustible forms of nicotine/ tobacco use, such as electronic cigarettes (e-cigarettes) and heated tobacco products (HTPs), have been introduced as potentially less-risky alternatives to traditional combusted tobacco products, including classic cigarettes

Sometimes this is because of a technical issue, such as the absence of an authorization code