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Cigar smoking and exposure to secondhand smoke, in particular, have been shown to be significant risk factors for erectile dysfunction

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The logic is simple: Its possible that middle and high school students may have access to 18-year-old peers to purchase cigarettes now, but theyre likely not going to have as much access to people who are 21 or older, who will likely be in college or living their adult lives

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Non-nicotine options, such as prescription medications like varenicline or bupropion, might also be combined, but only as prescribed by a doctor