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Our general observation is that something related to smoking cigarettes appears to have been inversely associated with ANA and any potentially protective effect waned in the later time period, possibly because people were smoking less and vaping more, or because something else about smoking changed

Most tests look for cotinine rather than nicotine, and it can be detected in urine for up to 7 to 10 days or longer in heavy users

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While not all adult smokers experience consistent symptoms of this condition, smoking can contribute to both occasional and ongoing throat discomfort