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For someone who previously smoked, switching to a cleaner nicotine product such as a patch or gum usually lowers overall heart risk because it removes smoke toxins, but continuing high-dose nicotine still keeps heart rate, blood pressure and vessel stress elevated compared with being nicotine-free

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For male fertility, studies have shown that nicotine can negatively impact sperm, hindering their ability to function correctly and potentially leading to a lower sperm count

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