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The American Academy of Pediatrics (AAP) also notes that maternal smoking is not an absolute contraindication to breastfeeding, but it should be strongly discouraged because it is associated with respiratory allergies in babies, as well as sudden infant death syndrome (SIDS)

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A simple chain of events Smoking or vaping local chemical exposure + oxidative stress + vasoconstriction fingertip stress and melanocyte vulnerability vitiligo in an area with few pigment-cell reservoirs stubborn repigmentation Direct exposure may also matter