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Compared to cigarettes, cigars typically contain a higher concentration of natural tobacco leaves compared to cigarettes, which often contain processed tobacco mixed with additives

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And one preliminary study questioned the net benefit of e-cigarettes to public health, projecting that for every adult who used e-cigarettes to quit smoking in 2015, another 81 youth and young adult e-cigarette users who never used combustible cigarettes would eventually become daily cigarette smokers by ages 35-39

Over time, these effects may lead to infertility , pregnancy complications, and reduced IVF success rates