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It has been linked to: Reduced Sperm Count: Studies have shown that smokers tend to have lower sperm counts, reducing the odds of fertilization

Am J Cardiol 89(9):11171119 Bohm F, Pernow J (2007) The importance of endothelin-1 for vascular dysfunction in cardiovascular disease

Without question, the US surgeon generals report in 1964 directly linked public health and smoking to specific cancers, and other health conditions

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Acknowledgements I would like to acknowledge the National Institutes of Health, the Lovelace Medical Foundation and the United States Army Medical Research for supporting my studies