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Many women bear no children

In contrast, current cigarette smokers, regardless of their cigar use and age, had significantly elevated mortality for heart disease (HRs from 1.59 to 3.23), malignant neoplasms (HRs from 2.65 to 4.11), smoking-related diseases (HRs from 2.39 to 2.71), and other causes (HRs from 1.62 to 2.03), compared with never smokers

Quitting smoking can have varying effects on testosterone, depending on an individuals baseline health and hormone levels

However, this depends on the counterfactual of what the person would have done otherwise: if they would have remained nicotine-nave, this represents a net harm that must be factored in to the total population health impact