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In the United States, the age of starting to smoke regularly became increasingly younger late in the twentieth century (NCI 1997), first for males and then for females, but more recently, it has been stable (Figure 2.1)

It reminds us that this particular toolthe Venn diagramwas not designed to be an iconic representation of phenomena, but rather a little machine

Even the tobacco free versions of these products may have risks, possibly greater risk, it is suggested to research elsewhere for such issues

The American College of Obstetrics and Gynecology recommends that these products be used in pregnancy only when non-drug methods such as counseling have failed, and when the increased chance of quitting smoking with these products outweighs the unknown risks of nicotine use during pregnancy