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Though research is mixed on this next point, some studies have found that nicotine can significantly lower testosterone levels compared to non-vapers, which could contribute to the development of ED

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A 2010 analysis found smoking increased Alzheimer's risk once studies funded by the tobacco industry (which had tended to report a protective effect) were excluded, [39] while a later pooled analysis of longitudinal cohorts across several countries found no significant association between smoking and dementia, including Alzheimer's disease specifically

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