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While highly unlikely, extreme cases of passive or environmental exposuresuch as prolonged contact in enclosed spaces with heavy smokecan result in detectable cotinine levels, especially in children or individuals with slow metabolism

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COPD: Emphysema vs Chronic Bronchitis Causes and Symptoms Emphysema and chronic bronchitis are the two primary forms of chronic obstructive pulmonary disease (COPD), a progressive condition that causes airflow limitation and difficulty breathing

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