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Tobacco can cause a deficiency of folic acid, also known as vitamin B9

Tob Control 21(5):502506

For Traveling Down the River , he laid a thirty-foot-long cigarette over a reproduction of a hand-scroll of the celebrated classical Chinese painting Along the River during the Qingming Festival

[12] Smoking cessation significantly reduces the risk of dying from smoking-related diseases

Schimmel J, George N, Schwarz J, Yousif S, Suner S, Hack JB

Really, its around having evidence-based, non-judgemental conversations around whats happening. Dr Hester recommends using the Hooked on Nicotine (HONC) checklist for young patients