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Therefore, the concentrations of cotinine in body fluids (such as serum, urine, and saliva) can be used as biomarkers for active smoking or secondhand smoke exposures

55 However, nicotine addiction is complex, related not only to the dose and speed of nicotine absorption but also to other chemicals in smoke that alter addictiveness and sensory effects of smoke

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Experts warn that changing perceptions may undermine anti-smoking progress