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Competing interests The authors have no conflicts of interest to declare

Nicotine in small doses is a stimulant that makes you feel good, increases your heart rate, improves concentration and your memory

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In males, nicotine exposure from vaping may lower testosterone levels, which potentially lead to reduced libido, erectile dysfunction, and impaired fertility

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These findings highlighted the interconnected impact of cigarette smoke on lung and gut inflammation, microbiota, and gene expression, suggesting shared mechanisms underlying COPD and intestinal disorders [109]