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14 Cotinine test cut-off values may also vary based on smoking prevalence in different countries

This is largely due to the use of nicotine salts, which are less harsh on the throat and lungs than the freebase nicotine found in cigarettes

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most of the transactions merely moved to neighboring states or to illicit markets." "Field personnel are routinely encountering or seizing untaxed menthol cigarettes, originally purchased in other states, and flavored ENDS products and cigars purchased from unlicensed distributors operating both within and outside the Commonwealth," confirmed the Massachusetts report