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It reduces the quality, quantity and function of sperm, disrupts hormone levels like testosterone and increases oxidative stress in the testes, all of which contribute to decreased fertility

The Tapering Method: If you are stepping away from nicotine, these are an excellent substitute

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Carcinogens, irrespective of their origin, can lead to the development of DNA damage through a variety of mechanisms

However, the NHIS is based on self-reported data, which might introduce recall bias or social desirability bias, potentially resulting in the under-reporting or over-reporting of tobacco use and other variables

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