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Another potential explanation is that our participants with high cotinine levels may smoke to alleviate perceived stress

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There isnt much time between Le Mans and this race, but I know all the engineers and mechanics are pushing hard to help us challenge for victory again

Benowitz, Janne Hukkanen, and Peyton Jacob, III, Nicotine Chemistry, Metabolism, Kinetics and Biomarkers, 2010

Using nicotine can cause problems with learning and attention and can lead to addiction

Smokers are much more likely than non-cigarette users to drink heavily, have a poor diet and develop mental health problems, new research shows