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While e-cigarettes deliver lower levels of carcinogens than conventional cigarettes, they expose users to high levels of ultrafine particles and other toxins that have been linked to increased cardiovascular and noncancer lung disease risks

Their mechanisms of action are multifactorial, involving disruption of the hypothalamicpituitarygonadal (HPG) axis, oxidative stress, hormonal dysregulation, and direct damage to testicular cells and the germ line [13]

If you use medication, always follow the advice of your doctor and the instructions label on the medication

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