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The normalization of smoking by vaping may eventually encourage a whole new generation using these products because they are cool and accepted in the mainstream. Nurses Promoting Smoke Cessation As the use of e-cigarettes continues to grow, there is an urgency for scientists to unanimously identify vaping health risks, despite vaping possibly being less harmful than smoking traditional cigarettes

A 2019 review in Frontiers in Physiology concluded that chronic smoking is associated with endocrine disruption and may adversely affect hormone production, including testosterone

Some use more tobacco

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