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Study significance The study highlights the negative impact of tobacco smoking on sperm quality

adults (66 percent) favor prohibiting the sale of tobacco products in pharmacies, including nearly half of current smokers

As more of the nicotine is absorbed by the body in high-dose exposure, symptoms transition to lethargy, depression, low blood pressure, normal or elevated heart rate, paralysis, respiratory depression or arrest, and death

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Moreover, there was no association in the number of respiratory symptoms between quitters with and without e-cigarette use