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The Hidden Costs of Smoking on Mens Health Beyond direct hormonal effects, smoking introduces multiple physiological stressors that can negatively affect male reproductive health and overall function: Vascular Restriction: Nicotine, a potent vasoconstrictor, reduces blood flow and may worsen low testosterone symptoms like erectile dysfunction

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The new data were collected through online surveys between April and October of 2021

First, since NNK is found only in cured tobacco, the presence of NNAL in urine specifically and conclusively demonstrates use of some form of tobacco and/or exposure to SHS