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Unwanted medications flushed down a toilet are not removed during the wastewater treatment process

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In an accompanying editorial, Dr Alexandra Hotca and Dr Karyn Goodman, cancer specialists at Icahn School of Medicine, New York, say that not enough people at high risk of anal cancer are being screened, that guidelines for screening are lacking and that infrastructure for screening is often absent outside urban areas

Nicotine Gum : Gum releases nicotine when chewed, which is absorbed through the mouth lining