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Example 1: Consistent Smoking Cigarettes per day: 10 Years smoked: 30 Packs per day = 10 divided by 20 = 0.5 packs per day Pack years = 0.5 multiplied by 30 = 15 pack years Example 2: Heavy Smoking Cigarettes per day: 40 Years smoked: 15 Packs per day = 40 divided by 20 = 2 packs per day Pack years = 2 multiplied by 15 = 30 pack years Example 3: Intermittent Smoking Cigarettes per day: 15 (on average) Years smoked: 25 (with some periods of not smoking) Packs per day = 15 divided by 20 = 0.75 packs per day Pack years = 0.75 multiplied by 25 = 18.75 pack years Factors to Consider When Calculating Pack Years While the formula for calculating pack years is simple, there are some nuances to keep in mind: Inconsistent Smoking Patterns: Some individuals may have smoked heavily at certain times and lightly or not at all at other times

Drinking excessive water, using detox kits, or taking other substances to mask results are unreliable and can themselves flag a diluted or adulterated sample

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Secondhand smoke is a mixture of smoke released by the burning end of cigarettes, pipes or cigars, and smoke exhaled from smokers, which can be involuntarily inhaled by nonsmokers