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Military service members smoke at higher rates than the general population

However, for patients undergoing nicotine replacement therapy (NRT) using nicotine gum and nicotine patches, cotinine cannot be used as an indicator of smoking cessation because nicotine and cotinine are present at the same levels as smokers [8,9,10,11,12]

Natural Leaf vs

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One's personal pipe, used in preparation for a ritual, was understood as a living thing with its own personal power and was not shared trivially with others or left on display