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Tobacco use also leads to more than $300 billion in health care and lost worker productivity costs each year

Many youth reported trying e-cigarettes because of curiosity, the belief that they are less harmful than traditional tobacco products, and the lower costs of traditional tobacco products

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Doctors can use nicotine tests to measure levels of nicotine and its byproducts in a persons: urine blood saliva hair nails When a doctor is testing for tobacco use or exposure to nicotine, they will likely test for cotinine

CMAJ 2017;189:E132836

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