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Nicotine itself is not considered a carcinogen, and nicotine patches dont boost cancer risk

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States with the highest smoking rates among women who are pregnant include West Virginia (25.1 percent), Kentucky (18.4 percent) and Montana (16.5 percent)

Practical habit-change steps include identifying triggers, substituting safer oral options (sugar-free gum, chewy mints, or a mouthguard), and using environmental cues to interrupt the loop

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