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Key takeaways Cotinine testing, while widely used to detect nicotine exposure, has limitations in distinguishing between active smokers, passive smokers, and users of nicotine replacement therapies due to varying cut-off values and the influence of multiple factors on cotinine levels

Smoking decline stalls since Covid as more young people take up the habit - study A decades-long decline in smoking in England has nearly ground to a halt since the pandemic, a study suggests

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