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Research suggests nicotine may potentially affect hormone balance, but there is no clear evidence proving vaping severely lowers testosterone in all users

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Nationally, the rate was 8.0%.2 Economics of tobacco use and tobacco control Economics of tobacco use in Pennsylvania Pennsylvania received $1.7 billion (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.4 Of this, the state allocated $15.5 million in state funds to tobacco prevention in fiscal year 2019, 11.1% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $6.38 billion per year.4 Smoking-caused losses in productivity: $5.73 billion per year.5 Pennsylvania tobacco laws Cigarette tax in Pennsylvania Tobacco taxes Pennsylvania is ranked 13th in the U.S