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Although the American Academy of Pediatrics already recommends mothers refrain from smoking weed while breastfeeding, the findings are the first to demonstrate that using cannabis and then waiting a few hours, or even days, to breastfeed may not cut it

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Joel has stated that he wanted the album to communicate his feelings about the American Dream and how changes in American politics during the Reagan administration meant that "all of a sudden you weren't going to be able to inherit [the kind of life] your old man had." [103] He also tried to be more ambitious in his use of the recording studio