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Clinical features may include irritability, anxiety, insomnia, bradycardia, restlessness, and delirium

For cancers, carcinogens in smoke can directly mutate oncogenes like p53 while also fueling tumor growth through oxidative stress (Cha et al
Put on gloves and protective eyewear, open your windows, and/or use a fan to encourage ventilation
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The American Society for Reproductive Medicine (ASRM) committee opinion on smoking and infertility states that lower live birth rates were observed even when women who smoked used donor eggs (eggs from a younger, non-smoking woman) to create embryos, indicating that smoking may also have an impact on the uterus

5, 2019, in JAMA found that more than 25% of high school students used e-cigarettes at least monthly, compared to 3% of adults