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Dawkins et al., 2016

Hormone Type Smokers (Serum Levels) Non-Smokers Total Testosterone Normal Normal DHEA Increased DHEAS Increased Androstenedione Increased Estradiol Increased Despite the increased levels of certain hormones, the overall fertility and spermatogenesis processes appear to be somewhat resistant to the detrimental effects of tobacco smoke, although the evidence indicates impaired reproductive functions among smokers [6]

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[1] History [edit] A number of Native American cultures have pipe-smoking traditions, which have been part of their cultures since long before the arrival of Europeans