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The ETUAS was calculated as the mean score of these four items, with higher scores indicating favorable attitude and endorsement of tobacco use

This is why smokers reach for a cigarette not just for pleasure, but to feel normal

According to Dai, J.s 2015 study, The hazardous effects of tobacco smoking on male fertility., tobacco smokes 4000+ constituents significantly impair male fertility through reduced semen quality and hormone dysfunction

Furthermore, clinical trials have shown that standard NRT doses are inadequate for rapid metabolizers of nicotine (i.e., those who inactivate nicotine to cotinine and then to 3-hydroxycotinine [3-HC] more quickly than others due to genetic variation affecting the activity of the hepatic enzyme CYP2A6) [20, 25]