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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 EP231: Smoking's role in male impotence PUTTING DR G ON THE SPOT 6 ways smoking causes erectile dysfunction (ED) Risks for men's sexual health Court: Graphic Health Warning Labels on Cigarette Packs Are OK Salud America E cigarettes and erectile dysfunction: biological mechanisms and research challenges International Journal of Impotence Research Smoking causes impotence Jamaica image 1
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