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This biomarker was reduced in participants who quit smoking by 9.98%, 16.2%, and 18.8% compared to baseline after 3, 6, and 12 months, respectively

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Authors contributions NB was part of the surgical team caring for the patient, and participated in drafting the manuscript

They must enter the Return-to-Duty (RTD) process , which includes: Substance Abuse Professional (SAP) evaluation Treatment or counseling (if required) Negative RTD test before returning to duty Follow-up testing as outlined by the SAP Reporting to the FMCSA Clearinghouse Employers must report drug and alcohol violations to the FMCSA Clearinghouse