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A certain level of AL and product appeal are necessary for adult consumers to substitute and adopt ENDS use when moving away from more harmful cigarette smoking and eventually to smoking cessation 3,21,25

Therefore, you should not view e-cigarettes as a hormone hack. Additionally, a population study in men reported that e-cigarette users had reduced semen quality and, unlike cigarette smokers, did not show the higher TT pattern sometimes seen with cigarettes

For youth in the state, in 2017, the rate was 10.1% for cigarette smoking for high school students

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