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Major organizations take a cautious stance: Centers for Disease Control and Prevention (CDC): Advises avoiding e-cigarettes during breastfeeding due to nicotine exposure American Academy of Pediatrics (AAP): Recommends minimizing nicotine exposure and prioritizing breastfeeding World Health Organization (WHO): Warns against e-cigarette use during pregnancy and lactation However, most guidelines also emphasize that breastfeeding remains beneficial, even if the mother is unable to quit nicotine completely