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"It's difficult to study due to the overlap between secondhand smoke and thirdhand smoke," he says

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At final model 3, as our study focused on DM population, DM-related variables including fasting glucose level, duration of DM, and insulin use were additionally adjusted compared to model 2

The report found consistent evidence linking smoking in men to chromosomal changes and DNA damage in sperm, which affects male fertility, pregnancy viability, and anomalies in offspring