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Similarly, we investigated combustible tobacco cigarette smoking trends among American adults and, due to NHANES data constraints, were unable to include e-cigarette use in our analyses, even though 4.5% of adults aged 18 and over were current e-cigarette users in 2021, and e-cigarette use is associated with quitting combustible cigarette smoking 63,64

7 Additionally, the CDC and FDA found that in 2024, 5.9 percent of high school students currently used e-cigarettes

Smoking increases the risk of hepatocellular carcinoma and cardiovascular disease in patients with metabolic-associated fatty liver disease

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Most tests look for cotinine rather than nicotine, and it can be detected in urine for up to 7 to 10 days or longer in heavy users

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