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Additionally, stress, anxiety, inadequate sleep, and a sedentary lifestyle can diminish sexual stamina and make ejaculation timing more challenging to manage

Chronic exposure to nicotine impairs cholinergic angiogenesis

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Men with altered body mass index showed reduced sperm concentration at 70.21 million per millilitre versus 95.34 million per millilitre, total sperm count at 150.76 million versus 210.45 million, motility at 61.33 percent versus 78.12 percent, and progressive motility at 38.64 percent versus 52.34 percent

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GATS and NFHS ask individuals whether they use tobacco, which is a self-reported habit question