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This goes way beyond how many cigarettes a person smokes per day, said senior investigator Nabil Alshurafa, associate professor of preventive medicine at Northwestern University Feinberg School of Medicine

Nicotine can be measured either qualitatively (whether nicotine is present) or quantitatively (how much nicotine is present) through urine, saliva, hair, or blood tests

While a standard retail pack can cost nearly $20 , native cigarettes from trusted Indigenous retailers average $8$11 per pack , or $55$65 per carton roughly half the price of big-name retail brands