I personally knew one gal whose doctor told her not to stop smoking during pregnancy, because the withdrawal problems of quitting would do more harm to the baby in utero than not quitting. I have also heard it anecdotally from others.
The first tweet is pure clown world. Jewish boy Jazz Jennings says he will not get a nose job due to his bodily integrity or some such, but he was transitioned as a child with tranny bottom surgury.
The second tweet is a hilarious and clever parody song describing the results.