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This approach helps patients reflect on how smoking affects their personal health and pregnancy (relevance), understand the potential harms of continued tobacco use (risks), identify benefits of quitting (rewards), address barriers to cessation (roadblocks) and revisit the conversation regularly during subsequent visits (repetition)

Vaping and Gum Disease Individuals who use e-cigarettes are significantly more likely to report having periodontal (gum) disease compared to those who do not smoke or use other nicotine products

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On the other hand, they can trigger side effects such as fluid retention, reduced glucose tolerance, behavioral and mood alteration, weight gain, high blood pressure and increased appetite

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