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Combined use of combustible tobacco, noncombustible tobacco, and e-cigarettes in the past 30 days was rare, with this pattern found for just 0.7% of middle school and 2.6% of high school students in 2015 (Figure 2.5)

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And they may have difficulty getting pregnant, according to the Reduced arousal Smoking can If smoking restricts blood flow to the genital area, it can reduce sensations of arousal