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With approximately half of individuals who use cannabis in pregnancy also using tobacco or nicotine products, the findings suggest the need for more effective clinical counseling early on, during the preconception and prenatal periods, said the studys corresponding author, Jamie Lo, M.D., M.C.R., associate professor of obstetrics and gynecology (maternal-fetal medicine) in the OHSU School of Medicine and Division of Reproductive and Developmental Sciences at OHSUs Oregon National Primate Research Center