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Clinical Tips : Use the 5As or Ask, Advise, Help model: Ask about tobacco and vaping at every visit Advise on risks and benefits of quitting Help with cessation plan, referrals, and follow-ups Address Barriers: Normalize relapse and provide non-judgmental support Consider co-existing mental health needs Offer carbon monoxide (CO) monitoring as a motivational tool Include family/partner in cessation plans when possible Behavioural Counseling and Brief Interventions Key Clinical Takeaways Behavioural counselling is first-line treatment for nicotine cessation in pregnancy

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Aerosols in ENDS contain metals, possibly from the metallic coils that heat the e-liquid and other components of the device, causing kidney disease under chronic exposure

Pay attention to how you feel

Reinforced stitching in high-stress areas (especially between fingers and thumbs) significantly extends lifespan, while quality materials resist cracking and degradation from repeated heat exposure