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The Risks of Smoking Despite Potential Testosterone Effects Even if smoking were associated with increased testosterone levels, the overall health risks far outweigh any potential hormonal benefits: Fertility Issues: Smoking has been linked to reduced semen quality, including lower sperm count and motility, which can impair fertility

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Research has shown that female smokers and those who are Asian, Native Hawaiian, Alaska Native, LGBT, or who have mental health conditions also are more likely to smoke menthols

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For smoke to be produced, a substance must undergo combustion (usually incomplete combustion)