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Nevertheless, some studies have also demonstrated a positive association between smoking and elevated testosterone levels 14,15,16,17

& Straif, K

Even as reducing exposure to cigarette smoke is an imperative for public health, it is even more so for patients with DM, as reflected in most clinical guidelines [21]

Review Date 10/1/2025 Updated by: Frank D

Nicotine levels can be high with both products, leading to addiction

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