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Anovulation: Cigarette smoking may disrupt normal ovulatory function, leading to anovulation (lack of ovulation) or irregular ovulation

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Additionally, platelet dysfunction, leading to a hypercoagulable state, has been observed after exposure to both nicotine-containing and non-nicotine-containing e-liquid aerosols ( 74 )

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The oxidative assault extends beyond immediate cellular damage, triggering the breakdown of essential structural proteins like collagen in the dermal papilla