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Reports in the NCBI have highlighted a strong correlation between Oligoasthenozoospermia or azoospermia and chewing tobacco use in males

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[PubMed] [Google Scholar] 51

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[] Its Tikshna (sharp) and Pittavardhaka (pitta-aggravating) nature can lead to Mukhapaka, characterized by mouth ulcers, mucosal erosion, and burning sensations in the oral mucosa