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Whereas cotinine is a biomarker with a half-life of 37 days 24 , NNAL has a half-life of 1021 days, which makes it suitable to assess smoking or SHS within a month of exposure 25

The pulmonary veins in left atrium carries the oxygenated blood from the lungs, which is then pumped to the left ventricle

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Mood changes: Anxiety, depression, irritability, and anger are common psychological side effects of smoking cessation

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[20] If you are trying to quit using chew, talk to your doctor about preventative methods like using nicotine gum, the patch, or other medications