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Creating an expectation of parental disapproval or social shame around smoking strengthened pupils resolve to avoid it, particularly in a collectivist culture where group opinion carries weight in Egypt and countries with similar context (72, 92)

Any alteration in the expression of these genes due to nicotine exposure/usage may lead to adverse implications in couples fertility and the health of future generations

Additionally, according to the Cleveland Clinic, ingredients often used in e-liquids are known to cause cancer, and people who vape may switch to smoking cigarettes, which contain even higher amounts of carcinogens and harmful chemicals