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A 2022 Cochrane review, which is considered the gold standard for the assessment of research into the efficacy and safety of safer nicotine products, has stated that There was moderatecertainty evidence that heated tobacco users have lower exposure to toxicants/carcinogens than cigarette smokers

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Bibcode:2014Circu.130.1418B

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Can Doctors Tell if You Smoke From a Blood Test?A nicotine test measures the level of nicotine or the chemicals cigarettes produce in the body