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Aghapour M, Tulen CBM, Abdi Sarabi M, et al

Clinical Tips : Use the 5As or Ask, Advise, Help model: Ask about tobacco and vaping at every visit Advise on risks and benefits of quitting Help with cessation plan, referrals, and follow-ups Address Barriers: Normalize relapse and provide non-judgmental support Consider co-existing mental health needs Offer carbon monoxide (CO) monitoring as a motivational tool Include family/partner in cessation plans when possible Behavioural Counseling and Brief Interventions Key Clinical Takeaways Behavioural counselling is first-line treatment for nicotine cessation in pregnancy

These hydroxyl radicals can cause significant oxidative damage to cellular components, further disrupting mitochondrial redox homeostasis and contributing to mtROS accumulation (Paul et al., 2017

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Research shows that over 95% of the nicotine is still available when using hookah and is not filtered out by the water chamber

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