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Endothelial dysfunction, impaired endogenous fibrinolysis, and cigarette smoking: a mechanism for arterial thrombosis and myocardial infarction

4 CONCLUSION A shared decision-making discussion with the pregnant patient about the risks and benefits of pharmacologic treatments used to help with quitting and the risks of continued tobacco or nicotine use is necessary, and treatment must be done under close supervision or referral to specialty care

Step 1: Think about why it is worth quitting

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