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14 As such, many smokers attempt to quit without any assistance, leading to high rates of relapse

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The work is not difficult, or easy, its the heat that gets us.[40] Repetitive Motions The teenage children interviewed by Human Rights Watch described performing prolonged repetitive motions for extended periods of time, including working bent over at the waist or crawling on hands and knees to remove weeds or uproot plants, and reaching above their heads and twisting their wrists to top tobacco plants and remove suckers

Disposable vapes are a newer version of the same problem, with added complexity

Cotinine levels peak at the end of smoke and begin to break down to continue