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In regular and heavy smokers, cotinine may be detectable for weeks, so stop using nicotine as soon as possible

Therefore, clinicians are advised to consider these factors and possibly integrate additional assessments tailored to the geriatric population to ensure accurate identification and appropriate intervention

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Although strong correlations between smoking, pathophysiological outcomes, and microbial dysbiosis have been observed in both human and animal models, these associations alone do not establish causality

Short answer: Scientists dont know much, but have raised red flags