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In other quarters, and in much of the American public health community, e-cigarettes were greeted with skepticism and hostility, since they could potentially renormalize smoking, set back the great gains in tobacco control of the past several decades, and hook a new generation of young people on nicotine and smoking

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6 Research confirms that smoking is independently associated with ED, separate from its broader effects on cardiovascular disease

This is because nicotine triggers a neurochemical response in the brain similar to other addictive drugs