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How smoking affects muscle growth Reduces protein synthesis: Slower muscle repair and growth Lowers testosterone: Less of the key hormone needed for muscle development Decreases oxygen supply: Weaker performance and endurance during workouts In short, smoking takes a toll on your ability to build muscle in multiple ways, making it much harder to see the gains you're working for

Leukoplakia/Keratosis Leukoplakia, also known as a localized epithelial abnormality, can appear after only a few months of regular smokeless tobacco use

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Yet despite these known risks, some commentators question the states role in regulating personal use of tobacco