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It may then develop coloured spots as the oils and other chemicals in the tobacco leak through the cigarette paper

Common physical causes of erectile dysfunction Atherosclerosis (clogged blood vessels) High blood pressure High cholesterol Low levels of testosterone Metabolic syndrome (a condition with increased blood pressure, body fat around the waist, high cholesterol, and high insulin levels) Obesity Peyronies disease (a condition where scar tissue develops inside the penis) Sleep disorders Smoking tobacco Some medications Surgeries or injuries that affect the spinal cord or pelvic area

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Erectile dissatisfaction: Even if erectile dysfunction is not present, smoking can still affect the quality of erections, leading to dissatisfaction with sexual performance

Sampling adequacy calculation To ensure that the sample size was statistically adequate for estimating cigarette butt pollution, the sampling adequacy was determined using the formula proposed by Abaya et al