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41 Qualitative research undertaken in Australia found that while parents often felt that their opinions had little influence, young people participating in the same study cited parental disapproval of smoking as a barrier to smoking uptake

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Although participants varying body nicotine concentrations were not correlated with subjective or physiological sexual responses, individual differences in nicotine metabolism may exist, irrespective of standardized nicotine dosing [45,46]

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In some cases, further medical evaluation may be appropriate