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This study used the data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Wave 1 conducted by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in the United States

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The researchers found that the elevated levels of nicotine, cotinine, and NNAL, which were detected immediately after the water pipe-smoking session, remained significantly elevated in the next-day urine samples, compared with the before samples: Nicotine was 10.4-fold higher

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