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10.1111/j.1749-6632.2011.06202.x 154

The study shows that nicotine and other compounds directly affect sperm production and maturation through oxidative stress and DNA damage mechanisms

Germany borders markets with lower tobacco prices such as Poland and the Czech Republic, so tax increases may bring both cross-border purchasing and illegal trade risks

As for what users are inhaling, vaping may cause inflammation on the users lungs

Meta-analysis of the association between secondhand smoke exposure and stroke

Interestingly, the authors interpret their results in the context of the Bradford Hill criteria for inferring causality (which consider the strength, consistency, specificity, temporality, biological gradient, plausibility, coherence, experiment, and analogy of an association)