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Nicotine is a highly addictive substance that can harm brain development, which continues until about age 25

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This is an observational study, and as such, no firm conclusions can be drawn about cause and effect, added to which the data before pregnancy didnt differentiate between those who smoked at any point in the preceding 3 months and those who smoked throughout, acknowledge the researchers

Unlike illicit recreational drugs and alcohol, nicotine does not measurably alter a smokers motor skills, cognition, judgement, or language abilities while under the influence of the drug, but nicotine withdrawal symptoms such as irritability and incapacity to concentrate can have an influence on these aspects