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Tobacco smoke has been reported to cause not only a decrease in sperm motility (although controversial), sperm concentration, and an increase in abnormal sperm morphology, but also abnormal protein expression, and both genetic and epigenetic aberrations in spermatozoa (Pereira et al

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Smoking and Vaping among Individuals with Psychiatric Illness While nicotine consumption has decreased in the general population, this has not been true for people with psychiatric disorders

[9] Because of the high availability of these popular flavors, flavored tobacco products are widely used for at least 80% of youth tobacco users