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She added that the number of patients "harmed by contraceptive pills is truly like a drop of water compared to the ocean of suffering and premature deaths that are cigarette-related." "The balance is generally favorable re: cancer, and is also favorable with respect to health benefits and overall mortality," Carolyn Westhoff, a professor of obstetrics and gynecology at Columbia University, told Newsweek

This commitment to ecological responsibility aligns with Indigenous principles of stewardship and respect for the land