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They found the level of cotinine, which is a marker for nicotine exposure, was 0.043 nanograms/milliliter (ng/ml) in nonsmokers, compared to about 180 ng/ml among smokeless tobacco users, about 131 ng/ml among cigarette users and about 184 ng/ml among people who used both smokeless tobacco and cigarettes

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The authors acknowledged that the data didnt differentiate between those who smoked at any point in the three months before pregnancy and those who smoked throughout that period

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