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13.8% of middle and high school students used flavored e-cigarettes in the past 30 days

Over time, this imbalance reduces sperm production and lowers overall fertility

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"We will continue to monitor cigarette consumption to determine if this is a blip in time or an actual trend. Public Health Impact The authors noted that their study was not without limitations: Consumption estimates based on tax data excludes illegal tobacco sales, sales on American Indian sovereign lands, and sales of certain tobacco products for which taxes are not reported