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doi: 10.1080/14622200701704947

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One practical consideration: nicotine replacement therapy (patches, gum, lozenges) can produce positive cotinine results even after cigarette cessation meaning a former smoker using NRT to quit may still test positive for cotinine and be classified as a tobacco user at carriers that treat any positive cotinine as smoker-equivalent

This can be seen as reflecting the long-term effects of alcohol consumption on the development of malignant neoplasms in the human body