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There's no easy answer

Senator Kamala Harris

As mentioned, with repeated exposure to smoking or drug abuse, the brain associates them with dopamine production

I'm looking for something more concrete indicating what caused it to be used in this context

Given the strong relationship with a pregnant womans ability to quit smoking, the womans partner and other significant family members who smoke should also be encouraged to support and not to undermine a womans cessation efforts both during pregnancy and in the postpartum period