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These results are in accordance with our previous study showing that smoking negatively alters the sperm standard parameters, DNA stability of sperm, and the ratio of protamine mRNA as well as downregulates the expression of H2BFWT, PRM1, and PRM2 36

When adding other categories, including e-cigarettes and smokeless tobacco, 19.3 percent of adults, or 47 million people, used tobacco products of some kind in 2017, according to the CDC

In its earlier years, e-cigarettes were portrayed as a threat to Big Tobacco

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