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Int J Environ Res Public Health 2021

It is important to note that there is no definitive causal link established between chewing tobacco and fatty liver disease in the same way as with alcohol or obesity

The breath test operator should have examined the test subject's mouth prior to breath testing, and should have eliminated the source of contamination (including rinsing the mouth) prior to beginning a deprivation and observation period before testing occurs

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It taught me a key lesson: a spitter is not an optional piece of gear