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Studies of natural conception in couples with a smoking male partner fail to demonstrate a significant reduction in fecundity.109 While other studies indicated that smoking is associated with lower fecundity rates, a higher risk of IVF failures and adverse reproductive outcomes.110 The process of fertilization involves a sperm fusing with an ovum, so we assume that male smokers who can generate normal spermatozoa may have the ability of producing offspring

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However, the smokeless tobacco market is exposed to constraints like strict government regulations, health hazards, increasing knowledge of nicotine dependence, expensive taxation, low social acceptance, and competition from nicotine replacement therapy and e-vapor products

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