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Raegan McDonald-Mosley, CEO of Power to Decide, a nonprofit that focuses on sexual and reproductive health, said in a statement

If recovering people use tobacco, they should not claim to be sober, because of active tobacco dependence

Key Takeaways: Multiple peer-reviewed studies confirm smokers have significantly higher rates of androgenetic alopecia Nicotine narrows blood vessels, reducing oxygen and nutrient supply to hair follicles Tobacco toxins increase oxidative stress a direct trigger for premature follicle miniaturization Quitting smoking can slow further hair loss but may not fully reverse existing damage Heavy smokers (20+ cigarettes/day) show up to 2x higher risk of severe hair loss vs non-smokers The connection between smoking and hair loss is not a myth it is one of the better-documented environmental risk factors in hair loss research

Ultimately, e-cigarette products, if shown to have a lower health risk than combustible cigarette use during pregnancy, may support smoking cessation among pregnant individuals and lead to positive changes in clinical recommendations and public health policy.