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Withdrawal symptoms associated with the combined cessation of alcohol and cigarettes include those associated with either, and some similar effects can be amplified (e.g., anxiety and insomnia)

Smoking began, tentatively, to operate as a visible sign of defiance

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Gathering her thoughts

20 To speculate, the lower, but still elevated, risk observed in infants of mothers who had stopped using snuff before the antenatal booking may be due to residual confounding or environmental tobacco exposure