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Read more: Cannabis withdrawal syndrome affects half of regular and dependent users: study These changes are most likely to be a consequence of bronchitis, although this is not proven, says author and research professor Bob Hancox

The reduced success rates mean that smokers may require more IVF cycles to achieve a successful pregnancy, making the process more physically, emotionally, and financially challenging

"Dual users -- the most common use pattern among people who use e-cigarettes -- get the combined risk of e-cigarettes and conventional cigarettes, so they're actually worse off than tobacco smokers," said Glantz