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Over all the test sessions, four participants had baseline nicotine levels of over 10 ng/ml at one or more sessions, indicating nicotine intake late at night or prior to the session

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There is also an increased risk of oral leukoplakia (precancer) and oral cancer

LPS correlated positively with cotinine, zonulin, and platelet activation markers (sCD40L, P-selectin) and negatively with antioxidant capacity (HBA)

These findings highlight the need for further research on the interaction between smoking, mental health, and quality of life, with implications for prevention, diagnosis, and treatment, conclude the study authors