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Rather than attempting to use e-cigarettes to aid in smoking cessation, healthcare professionals treating pregnant women who smoke should advise them to use evidence-based strategies for cessation, including counseling and use of quitline services 31

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Smoking can disturb this delicate balance by reducing good bacteria and encouraging the growth of less helpful species. Over time, this imbalance, known as dysbiosis, can contribute to IBS symptoms such as bloating, gas, and irregular bowel habits

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But since nicotine is a stimulant, smoking can mask your exhaustion