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Further longitudinal evaluation on the long-term health impacts of ENDS should be performed to clarify whether ENDS use is an independent risk factor for the development of ED. Given that many people use e-cigarettes as a form of smoking harm reduction or to help them quit smoking, we need to fully investigate the relationship between vaping products and erectile dysfunction, and thus better understand the potential implications for mens sexual health

Second-Hand Smoke Impacts Health (2025)

Moreover, when the lung damage was paired with the anxiolytic substances present in the tobacco, such as nicotine, these correlations disappeared, strengthening the case that this lung damage can lead to anxiety-related behaviours