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Smoking reduces semen quality which includes sperm abnormalities like a decrease in sperm motility, density, viability, count and function, that affect the process of fertilization and fertility

The bigger killer Sadly, this is the same narrative that all too many individuals who work in the field of tobacco control have used for other emerging health crises such as the rapid rise in obesity, namely that smoking is always the bigger killer

We therefore adjusted for this by multiplying the F AA by the frequency of alcohol-consumers who are never-smokers (53%), and the F TA by the frequency of smokers who do not consume alcohol (12%), for cancers in which both alcohol and tobacco are known risk factors (Additional file 1: Table S2)

Thats why its called a silent killer. Its a cardiovascular disease risk factor that affects about 1 in 2 adults in the U.S