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Cotinine, a primary metabolite of nicotine, is often tested instead and can remain detectable for up to two weeks or more in regular users

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Although the literature has revealed some conflicting data on the role that PNE has in the development of schizophrenia, clinical and preclinical studies reveal that individuals may be at an increased risk for developing schizophrenia following PNE [94]

So, you dont have to be surprised if the tobacco they use comes from their own land

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