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Smoking can damage the sperm and decreases fertility does chewing tobacco decrease sperm count Does Chewing Tobacco Affect Sperm Health? A Urologist Explains the Relationship between semen quality and tobacco chewing in men undergoing infertility evaluation ScienceDirect Semen Quality Measures in Hookah and Cigarette Smokers Compared to Nonsmokers Hamadneh 2025 The Scientific World Journal Wiley Online Library
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