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"Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature"

While its true that the more a person smokes, the higher the cotinine level is likely to be, a number of contributing factors influence testing outcomes such as: Size of the individual Percentage of body fat present Rate of metabolism Hydration state of the individual Type of cigarette/cigar/pipe smoked or tobacco chewed Smoking style Elapsed time from smoking to testing The pH of the urine (if urine testing is conducted) 5

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