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"Kids used to smoke cigarettes and in rural communities that Ive worked in it was chewing tobacco but the shift is now moving to e-cigarettes or Juul," McDaniel said

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What is interesting about this study is the authors utilized the saliva cotinine level-verified continuous abstinence rate (CAR) at weeks 4 to 12 as their primary efficacy endpoint (cotinine is a metabolite of nicotine and can be measured in saliva, urine, or blood to detect the use of nicotine and/or tobacco)

"Virginia Governor Approves Marijuana Decriminalization Bill"