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The drugs mechanism of action breaks down the substance and converts it to its secondary metabolite, cotinine

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Reproductive system: Over time, smoking can cause infertility and decreased sexual drive

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Analytical approach First, we compared levels of psychological distress and sociodemographic covariates by frequency of vaping (every day, some days, ever but no longer, and never) using chi-squared tests to determine significance of omnibus differences across all categories

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