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The last Cochrane review concludes that there is no evidence that NRT used for smoking cessation in pregnancy has either positive or negative impacts on birth outcomes 1,40

However, the urine from smokers of black tobacco was reported to be twice as mutagenic as that from smokers of blond tobacco, which correlated with the known increased risk for bladder cancer among smokers of black versus blond tobacco (Malaveille et al

CNN: What about people who both smoke and vape

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