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Smoking damages the genetic material in sperms, and it cause chromosome damage and DNA fragmentation in sperm Marijuana use affects men by decreasing the sperm count and the quality of the sperm Alcohol interferes with the synthesis of testosterone and has an impact on sperm concentration, it also delay a mans sexual response and may cause impotence, the inability to have or sustain an erection

But at the end of the day, when you compare the carcinogen burden, it's probably not going to be that different between these products

Although both products are suitable for low-to-moderate nicotine users, those with higher tolerances will likely gravitate to pouches

Indian Journal of Cancer

[ 8 , 14 ] Studies of college students have shown that 60% of student hookah smokers initiated use at a hookah establishment and over half smoke hookah more frequently at a hookah establishment than any other location