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Nevertheless, it was shown that policies alone cannot reduce marine and cigarette filter litter [54, 111, 118]

27 Studies measuring biomarkers of the dangerous substances in tobacco smoke (see Section 12.5.6) find that, compared to quitting completely, smokers who cut down still have relatively high levels of biomarkers of oxidative stress (an imbalance of free radicals and antioxidants in the body) such as glutathione 28 and other metabolites such as thiocyanate, 29 TNE-2, NNAL, NNN, 2-Fluorene, HPMA, CYMA, and MHB3

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This can bring in complications for individuals who already have a mood disorder, such as bipolar and schizoaffective disorder, or individuals who have other mental health diagnoses, such as ADHD, autism, and BPD, which have a hard time regulating their moods and emotions