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An allergist will need to perform a diagnostic test to determine if nicotine is the cause of their symptoms

Dogs and cats as environmental sentinels in the One Health paradigm Dogs and cats have been investigated as potential environmental sentinels for passive smoke exposure, primarily through the analysis of specific biomarkers, such as cotinine (a nicotine metabolite and tobacco alkaloid) in various biological matrices (Table 3)

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Some users do attempt retrohaling, which involves exhaling oral vapor through the nose as a technique rather than a device category, but this is distinct from direct nasal inhalation of fresh aerosol