The NHS states that "women who smoke can experience reduced fertility levels and are over three times more likely than non-smokers to take longer than a year to get pregnant"
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Durazzo, Over eight months of sustained abstinence from alcohol, active-smoking ALC (alcohol-dependent individuals) showed poorer recovery than never-smoking ALC on measures of learning, and both former-smoking ALC and active-smoking ALC recovered less than never-smoking ALC on processing speed measures. In other words: In alcoholics, nicotine interferes with their neurocognitive recovery during the first stages of their alcohol cessation. And yet the prevailing wisdom has long been that cigarette smoking should not be addressed in the early phases of treatment for fear that incorporating tobacco cessation into the treatment protocol might overwhelm individuals experiencing withdrawal symptoms from alcohol and drugs, according to the research in Substance Use and Misuse

(research cited on CDC webpage Unfair and Unjust Practices and Conditions Harm Asian, Native Hawaiian, and Pacific Islander People and Drive Health Disparities) NH/PI youth had the highest vaping rates and second highest smoking rates among all racial/ethnic groups