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After filtering out factors such as multiple births, high blood pressure or diabetes before pregnancy, and lack of information on the smoking status 3 months before and during their pregnancy, the researchers narrowed it down to 12,150,535 mother-infant pairs

20 (3), e0299706 (2025)

In practice, that means most drivers who test positive are only the heaviest users those with high enough concentrations to register despite the test's limitations, sometimes described by officers as "strongly positive." A more accurate, domestically developed alternative is in the works

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