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Chunk #13 — Discussion — Strengths and limitations

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Investigating causality in associations between smoking initiation and schizophrenia using Mendelian randomization.
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A further potential limitation could be the role of maternal smoking, as this may be a genetic confounder, influencing both the genotype of the individual, and the relationship between smoking and schizophrenia in the individual. However, the impact of maternal smoking would need to be substantial in order to affect this analysis, given that smoking initiation is independent from smoking during pregnancy and therefore likely influenced by different genetic variants13, and offspring share on average 50% of their genotype with their mothers.