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Impact on Fertility and Menopause Cigarette smoking is associated with decreased fertility in both males and females

Reduced appetite and weight loss, or overeating and weight gain Anxious thoughts Slowed speech, thinking, or movement Feelings of guilt or worthlessness Trouble with memory or concentration Thoughts of killing or harming yourself Dissociative episodes The interactions among nicotine, dependency, and depression Previous research has established a direct link between depression, nicotine use, and nicotine dependence

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