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Step 4 Priming the surface with a quality primer is imperative

An American study examining the link between vaping and erectile dysfunction found that: Men who vaped were 2.4 times more likely to report erectile dysfunction than men who had never vaped This may be because of nicotines effect on blood flow and in turn blood supply to the penis

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Given that more than half of service users are not successful in quitting at 4-weeks there is a need to examine how best to support this group of clients with quitting