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If the smoking status is already documented, it can be asked: I see from your notes that youre a smoker, are you still smoking? If they are recorded as ex-smokers, it is vital to re-check as approximately 70% of ex-smokers will eventually relapse within a few years, further questions that can be used are: According to your records you quit smoking, how are you getting on with that? When advising it is important to take the perspective of educating not judging or coercing, for example: Ok, I am not sure whether you are aware, but there are several negative consequences to you and your baby of smoking during pregnancy, and it is entirely your choice, but we know that the best way to stop is with extra support, which is available in the NHS

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You can also go for reusable crutches or pre-made filters, which well talk more in depth about later

The American Cancer Society recommended the minimum age of 18 in 1963, the American Medical Association recommended 21 in 1985, [3] and the United States Department of Health and Human Services Office of the Inspector General recommended 19 or 21

To support his claim, Ipsen draws upon the character Bruno Cortona from Dino Risis Il sorpasso ( The Easy Life , 1962), in which the outgoing smoker played by Vittorio Gassmann lives a carefree life and chastises the introverted Roberto for his non-smoking ways (149-150)