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To mitigate this, future studies should consider incorporating objective biomarkers of nicotine exposure, such as cotinine levels in blood or urine, to provide a more accurate assessment of tobacco use and minimize the risk of reporting bias

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Department of Health and Human Services) Youth Vaping, Smoking, and Nicotine Use (truth initiative) E-Cigarette, or Vaping, Products Visual Dictionary (Centers for Disease Control and Prevention) Vaping Nicotine = Brain Poison for Teens DropTheVape.com References Centers for Disease Control and Prevention