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Positive Results & Detection Window (1) Cotinine may stay in the system longer for heavy and regular smokers who have a slower metabolic rate or whose kidney does not clean the nicotine out at a steady rate

That, coupled with the finding from this study of a modest decline in current use among young adults aged 18 to 20 years, might be an early indication that recently implemented federal and state policies, including the Tobacco-21 legislation and e-cigarette flavor restrictions, could be having an effect, said study co-author Ellen Boakye, M.D., M.P.H., a research fellow at Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease

More than 33 percent of sixth graders and over 50 percent of seventh graders have tried cigarettes