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(Strength of Evidence = A) Recommendation: Although abstinence early in pregnancy will produce the greatest benefits to the fetus and expectant mother, quitting at any point in pregnancy can yield benefits

A 2000 study published in BMJ cited one confectioner as saying "

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So a regular shisha smoker can expect to be at risk to the similar health problems that cigarette smokers face, whether that's respiratory, heart disease or cancer

However, this may not be practical for dietary reasons, as some people cannot eat or choose not to eat meat