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Why Cotinine Is Preferred Stable : Lingers in the body longer than nicotine Reliable : Directly tied to the amount of nicotine absorbed Specific : Doesnt appear in the body unless theres nicotine exposure Other options like anabasine or nicotine itself are harder to measure and clear too quickly to be useful for most testing

Many of the initial Jamestown colonists were upper-class Englishmen who had no prior experience in any kind of productive labor and others seem to have been simply lazy or inept

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Mandatory reporting in 2026: CMS will require mandatory reporting of SDOH screening data from outpatient settings