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The flavors are in adequate quantities, and the aroma is very well balanced and gives out fresh and mellow smoke
Many patients do not consider vaping, nicotine pouches, or other non-tobacco nicotine products to be tobacco use, so these exposures may go unrecognized unless we ask specifically. Clinician counseling on non-tobacco nicotine use should reflect that nicotine itself not just cigarettes can contribute to adverse pregnancy outcomes
There's a reason for that and it isn't just the population
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