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Once the ingredients in tobacco get into the bloodstream, they reduce the delivery of oxygen and nutrients to mouth tissues

"WHO framework convention on tobacco control" (PDF)

For instance, a 2024 research conducted on 1938 infertile men, including both smokers and non-smokers, found that smokers had: Low semen concentration Decreased sperm counts Low sperm motility Low sperm viability They also noted that heavy smokers had more disturbed semen parameters than moderate smokers

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responses were used to identify people at risk for initiation (i.e., people who had never used the substance as of 12 months before the interview date) and to identify past year initiates (i.e., people who used the substance for the first time in the 12 months before the survey)