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Nicotine, found in tobacco plants and synthetic chemicals, is a stimulant that is one of the most widely abused substances along with alcohol in the world

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The results also show that even low-level smoking can kill

It is plausible that the decreased testosterone level is associated with testicular dysfunction rather than a pituitary disorder

However, as of 2020, an estimated 1.18 billion individuals globally were current smokers and 7 million deaths and 177 million disability-adjusted life-years were attributed to smoking, reflecting a persistent public health challenge 4