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Pregnant people who are at ongoing risk for syphilis should be tested regularly

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"Category D: There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks." Smoking and use of nicotine products during pregnancy has been linked to: and respiratory, gastrointestinal, and metabolic disease in offspring (8-11)

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