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Additionally, an article published by the Canadian Society of Clinical Chemists showed that abnormal structural defects of spermatozoa, especially round head defects, were associated with tobacco smoking which might be attributed to increased oxidative stress and insufficient scavenging antioxidant enzymes in the seminal fluids of infertile men [29]

This does not include cigarettes and hand-rolling tobacco which already have strict plain packaging requirements

Silverstein said the findings also suggest that research into visual processing impairments in other groups of people, such as those with schizophrenia who often smoke heavily, should take into account their smoking rate or independently examine smokers versus non-smokers

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