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Smoking and alcohol directly affect sexual performance by reducing blood flow, disturbing hormone balance, and lowering stamina. Long term use can lead to erectile issues, low libido, and poor overall sexual health. Healthy Poor journalism falsely claims that vaping causes impotence Dr Colin Mendelsohn SMSNA How Cigarette Smoking Can Contribute to Erectile Dysfunction Tobacco and Erectile Dysfunction : Effects & How to Quit Allo Health Blog
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