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According to a survey conducted by the TobaccoFree Research Institute of Ireland at TU Dublin for the Department of Health, 76% of teenage e-cigarette users had never smoked traditional cigarettes before trying vapes

Smoking had an adverse impact on both sperm concentration and total sperm counts with smokers having significantly lower sperm concentrations (median 60 versus 66 10 6 /ml, P = 0.02) and lower total sperm counts, (177 versus 226 10 6 , P 3.0.CO;2-F Harlev A, Agarwal A, Gunes SO et al (2015) Smoking and male infertility: an evidence-based review

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