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the shared epitope and smoking significantly interacted for specific ACPA, particularly those closer to onset of symptoms

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It is important to note that the e-liquid used in this study does not contain nicotine and flavor, thus these results may not be applicable to nicotine/flavor containing e-liquid/e-cigarettes, a notion that warrants further exploration as nicotine is known to cross the blood stream to breast milk [80]

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The viral photo shows an adult black skimmer passing a cigarette butt to a baby bird