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Women over the age of 35 who smoke, should not use combined hormonal birth control that contain estrogen Smoking alongside taking the pill, patch or vaginal ring can increase the risk of heart attack and stroke Other birth control options such as progestogen-only or non-hormonal methods do not have the same risks for smokers Women under the age of 35 who smoke may be able to use combined hormonal birth control Smoking risks Nearly 12% of adults in the US, aged over 18 years, were found to smoke cigarettes in 2021

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If pregnant women smoke, the oxygen that is supplied to the foetus can severely affect its growth

In addition, in August 2021, FDA warned two companies that submitted applications by September 9, 2020 that did not meet FDA standards, and one company that submitted an application for some but not all of their products, to stop selling the ENDS products that were not authorized to be sold