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Men who reported smoking, drinking alcohol, and chewing tobacco simultaneously showed lower sperm concentration, total count, and motility across all parameters

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Smokers tend to have a more rapid heart rate, poorer circulation, and more shortness of breath -- not helpful qualities in an athlete

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pylori infection, NSAID exposure, and these lifestyle factors may collectively increase mucosal vulnerability and the probability of complications, including bleeding and perforation (22, 23)