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Nicotines addictive properties are enough of a reason to consider it unhealthy, but there are different degrees of harm associated with how its consumed that obscure this point

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Researchers observed a postneonatal mortality rate of 0.8 per 1,000 live-born infants (n = 1,583), with nearly 32% of these infants born preterm and 28% born small for gestational age (SGA)

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