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About one-third (35-38%) gained less than 10 pounds (5 kg)

There are gentle slopes, but nothing too steep

Data extraction Administrative data about relevant grants were extracted from the QVR, including funding institutions or agencies, the Request for Applications (RFA) number and title, grant number and title, mechanism, start and end dates, principal investigator (PI), PI institution, performance sites and foreign sites named within the grant record, and publication records

Together, nearly 1 million men filled out questionnaires, including almost 10,000 smokeless tobacco users

It is possible, although there is no clear evidence, that this effect can be reversed by quitting smoking, so it would make sense to stop smoking at least one cycle before you start looking for pregnancy

It is possible that researchers had flaws in their methodological approach, however, standardised reporting guidelines such as PRISMA were only published in 2009 (with an update in 2020) and their use has picked up greatly in more recent years [33, 101]