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The contrast with adults could be because cadmium levels naturally increase with age simply because the kidneys accumulate the metal over a lifetime and become less efficient at clearing it out

Table 1 Demographic characteristics of all participants, South Africa, 20072018 Tobacco and nicotine product type Tobacco products investigated include combustible tobacco products (FM cigarettes and RYO cigarettes, cigars, and waterpipe tobacco), as well as SLT and e-cigarettes