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Inflammation and the gut-brain connection Cigarette smoke increases low-grade inflammation in the intestines. Since IBS is strongly influenced by the gut-brain axis (the two-way communication between the gut and the nervous system), this extra stress can worsen how signals are processed, leading to more discomfort and unpredictability

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CALL TO ACTION FOR OBSTETRICIANGYNECOLOGISTS The American College of Obstetricians and Gynecologists recommends that all obstetriciangynecologists screen for tobacco use during pregnancy, including both conventional cigarettes and other forms of nicotine, such as e-cigarettes, counsel patients on the risks of nicotine in pregnancy, and advise nicotine cessation

Association of hormonal contraception with depression