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However, given that values still mostly remain in the normal reference range, future studies should investigate the effect of cigarette smoking on sperm function at the molecular level. This leads to the question, does smoking impact sperm quality in ways that may not be recognized using the semen analysis

Our findings underscore the need to conduct further studies to contextualize the e-cigarette use pattern that is relatively safer than smoking, El-Shahawy said in the release

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