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And people are more cautious in pregnancy about using a lot of the pharmacological interventions that are approved for smoking cessation

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An estimated 5.8% of Americans whose family income is less than twice the federal poverty level (FPL) are current e-cigarette users, versus 4.8% of those whose income ranges between two and four times the FPL, and just 3.6% of adults with income of four times the FPL and higher

Without normal levels of stomach acid, the lower esophageal sphincter (LES) relaxes, letting the stomach acid flow backwards into the lower esophagus, and causing GERD/reflux