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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

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the intensity was moderate) and might be sustained for several years (10 to 20 years) after smoking cessation [49]

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