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Dr Claire Fuller, the national primary care medical director, said: Smoking is the biggest cause of preventable illness and deaths in the UK, and we know that smoking reduces fertility in women and increases the risk of complications in pregnancy

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The cardiovascular dysfunction findings were deemed particularly concerning because the negative impact among people who vaped was similar to the impact among those who smoked regular cigarettes, even though e-cigarette smokers were younger and had vaped for nearly two decades less than the traditional smokers

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Women who smoke are more likely to experience painful menstruation and more severe menopausal symptoms