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The chemicals in cigarettes, including nicotine, tar, and carbon monoxide, directly affect reproductive health

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SHS inhaled from conventional cigarettes or e-cigarette vapors is absorbed into the pulmonary circulation where it binds to neuronal nicotinic acetylcholine receptors (nAChRs) that mediate fast neurotransmission in both the central and peripheral nervous system (Wells and Lotfipour, 2023)