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Their effects on sperm are both well-documented and serious: Reduced sperm count: Smokers consistently show 15 to 25 percent lower sperm concentrations compared to non-smokers Impaired sperm motility: The ability of sperm to move progressively toward an egg is significantly reduced in men who smoke Abnormal sperm morphology: The proportion of normally shaped sperm is lower in tobacco users, reducing the chance of successful fertilisation Elevated sperm DNA fragmentation: This is perhaps the most critical effect

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These include insufficient subgroup analyses due to limited sample sizes and the omission of studies published after 2020, which utilize updated exposure assessment methods

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This guy knows a lot about opium and opium smoking from a historical perspective and from the perspective of a collector, but he is not a scientist