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When you smoke, your white blood cells are always active to fight the damage that tobacco causes

Some research suggests that smoking may enhance hepatic testosterone metabolism, potentially resulting in decreased serum testosterone levels 8

It can also contain cannabis products ( THC or CBD ) instead of nicotine
Your doctor can also prescribe nicotine nasal sprays or inhalers

Chronic obstructive Pulmonary Disease (COPD) and Air Pollution: a review
