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A biopsy (tissue is taken for testing) may be recommended to rule out any serious diseases like cancer and HIV

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Primary and secondary cigar users had significantly lower serum cotinine (geometric mean cotinine concentrations: 6.2 ng/mL and 24.2 ng/mL for primary and secondary cigar users and 131.4 ng/mL for current cigarette-only users) and urinary NNAL concentrations than current cigarette-only users (19.1 pg/mg creatinine, 78.6 pg/mg creatinine, and 215.4 pg/mg creatinine, respectively)

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We encourage everybody to write it down, and then you can email DOH, appealed Dr