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For firefighters, this is a particular issue because the job is physically demanding, and people depend on you in life or death situations every day

Current opinion is that the use of NRTs in pregnancy carries a small potential risk to the health of the fetus and that using NRT is actually far safer than smoking while being pregnant 11-13

Canadian authors of a 2020 meta-analysis of 32 RCTs of drug treatment for major depressive disorder in people with concurrent SUDs concluded that SSRIs either alone or in combination with relapse prevention medications such as naltrexone, had no significant effect on depressive symptoms

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