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"We found that smokers who consume cigarettes immediately after waking have higher levels of NNAL -- a metabolite of the tobacco-specific carcinogen NNK -- in their blood than smokers who refrain from smoking a half hour or more after waking, regardless of how many cigarettes they smoke per day," said Steven Branstetter, assistant professor of biobehavioral health, Penn State

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Hagstad S, Bjerg A, Ekerljung L, Backman H, Lindberg A, Rnmark E, Lundbck B