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First, the cross-sectional design precludes causal inference for the association between smoking and HTN

The physical symptoms that are triggered when an individual first quits smoking, such as headaches and cravings, can greatly hinder their ability to stick with the overall cessation process

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However, given that values still mostly remain in the normal reference range, future studies should investigate the effect of cigarette smoking on sperm function at the molecular level. This leads to the question, does smoking impact sperm quality in ways that may not be recognized using the semen analysis