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Counsel patients on the following information: Cigarette smoking increases the risk of serious cardiovascular events from COC use, and that women who are over 35 years old and smoke should not use COCs [see Boxed Warning]

Heideman emphasized that the financial drain of a nicotine habit, combined with the physical health risks and the relentless struggle of addiction, is a burden he hopes his students never have to endure.

Kennedys surgeon general, Dr