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Because of cotinines longer half-life, its presence in urine or blood is used as an indicator of recent nicotine use

READ MORE: 13 ways smoking affects the body While the statistics are alarming, the good news is that quitting smoking reduces the risk of disease and death significantly

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Tindle said the study results highlight the need for stronger tobacco control measures and show why doctors should discuss smoking at every patient visit, encourage smokers to quit and inform them about effective ways to do so.

Campaign for Tobacco-Free Kids, The Path to Smoking Addiction Starts at Very Young Ages