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Each time a sample is taken, the time is recorded by the participant on the sample log, along with additional questions about time since last cigarette, stress events, exercise level, and alcohol consumed on the collection day

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As an integral part of their medicinal and ceremonial toolkit, it was utilized for its believed cleansing and purifying properties, most notably through a practice known as smudging

Moreover, unmeasured factors, such as socioeconomic status and lifestyle habits, may influence both smoking behavior and hospitalization rates, potentially biasing our results