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The damage is cumulative, so by the time an individual notices a problem, irreversible damage has been done

[DOI] [PMC free article] [PubMed] [Google Scholar] Haussmann H

If you currently smoke cigarettes and are using birth control (or considering it), please speak up at your next doctor's appointment

But it is the mental health responses to this process that are reported to cause the greatest amount of distress, and push those trying to quit back toward their addiction
