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There are multiple ways of dealing with this issue

I cant speak to nicotine and breast milk, but second hand cigarette smoke dramatically increases the risk and occurrence of ear infections in babies and throughout their entire childhood (which can increase the risk if hearing loss, need for PE tube surgery, and/speech delays, among other health issues)

This is particularly relevant in oral health, where healing from dental procedures or gum injuries can be significantly delayed in smokers

Regulated mods, however, are safer and more versatile but more complex and expensive

doi: 10.1053/smrv.2002.0186 4 SuttonEL