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Although self-reported smoking yields lower prevalence estimates than assessment with serum cotinine, a metabolite of nicotine, it is unlikely that underreporting will have a large effect on the findings of this report because of the overall high concordance between self-reported smoking and biochemical assessment with cotinine ( 7 )

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23 , 24 3) For the LCS guidelines, tobacco status questions are focused on eligibility with total pack years of cigarette smoking and quitting within 15 years 7 whereas also asking about recent tobacco use could better distinguish current and former smokers

A 6-pack of our classic buttercream bonbon filling made with Root Beer from our friends at Public Coast Brewing Co in Cannon Beach, Oregon within a shell made with Ranger's Milk Chocolate