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An estimated 5.8% of Americans whose family income is less than twice the federal poverty level (FPL) are current e-cigarette users, versus 4.8% of those whose income ranges between two and four times the FPL, and just 3.6% of adults with income of four times the FPL and higher

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Although quitting smoking at any stage of pregnancy is associated with improved pregnancy outcomes, there is evidence that quitting smoking in the first trimester of pregnancy provides the greatest benefits 26

This is why bariatric surgeons have mandates regarding smoking before they will consider candidacy for weight loss surgery