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Male infertility is a growing concern, and smoking is one of the most preventable causes

Besides nicotine, e-cigarettes can contain harmful and potentially harmful ingredients, including: ultrafine particles that can be inhaled deep into the lungs flavorants such as diacetyl, a chemical linked to serious lung disease volatile organic compounds heavy metals, such as nickel, tin, and lead Prolonged use of tobacco products contributes to serious health issues such as, cancer and heart disease

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Quantitative testing can help distinguish between active smokers, tobacco users who have recently quit, non-tobacco-users who have been exposed to significant environmental tobacco smoke, and non-users who have not been exposed