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daily [19], levels of nicotine dependence [38], the heaviness of smoking [39], or cumulative pack years [6], and biomarkers such as cotinine levels [40], suggesting a pharmacologic or neurobiological link between nicotine exposure and mood dysregulation

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Smokers had a 2.3 times higher overall chance of complications

This includes linking cigarette butt monitoring to environmental impact assessments, adopting legislation that explicitly categorizes cigarette butts as a waste type and recognizes them as hazardous, banning cigarette filters, and promoting international cooperation to support standardized monitoring and data sharing

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