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The dilation of blood vessels in the penis makes it easier to achieve and maintain an erection, allowing for improved sexual performance

Systemic exposure to its active metabolite SN-38 is also lower [44]

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Cigarettes and other combustible tobacco products are responsible for the overwhelming burden of death and disease from tobacco use in the United States, said Corinne Graffunder, Dr.PH., M.P.H., director of CDCs Office on Smoking and Health