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Refer early when there is: Moderate to severe alcohol use during pregnancy Suspected Alcohol Use Disorder (AUD) Withdrawal symptoms Polysubstance use Significant psychiatric comorbidity Safety concerns Engage multidisciplinary care: Addiction medicine Mental health services Social work Trauma and intimate partner violence (IPV) supports Peer support programs Caring for Patients Using Alcohol During Pregnancy Culturally Safe and Anti-Stigma Care Fear of judgment, stigmatization, or involvement with child protection services can discourage disclosure of alcohol use

Mixing suggestions: Lemon to brighten the green apple side and add extra crispness