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Recent studies have demonstrated the international nature of the illicit whites trade, monitoring the role of producers in India, China and Vietnam, as well as traders in the Middle East and Paraguay

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Typical cut-off levels for cotinine detection are: Urine: 200 ng/mL Saliva: 1014 ng/mL Blood: 10 ng/mL However, labs may adjust thresholds depending on the population and purpose (e.g., workplace, clinical, or insurance testing)

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