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It is widely acknowledged that smoking can have adverse effects on male reproductive health, including reduced sperm count and diminished semen quality 8,9,10,11

2018;27(suppl 1):s55-s61

In North Carolina, underage vaping is a Class 2 misdemeanor punishable by a fine of up to $1,000 and/or 30 days of community service.[6] Retailers may be warned on their first offense, but selling to underage customers comes with more severe consequences from that point on, including heavier fines (often exceeding $500) and license suspension

And this revenue decline would not primarily be the result of reduced tobacco consumption