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Physical Examination: Vital Signs: Monitoring blood pressure, heart rate, and respiratory rate for any abnormalities associated with tobacco use

Conflict of interest The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest

Our findings are consistent with previous reports from fertility centers about the effect of marijuana use on sperm morphology 11,49,50

Physiologic atrophy: Also known as disuse atrophy, this occurs when you dont use your muscles sufficiently, leading to a decrease in size and strength

Sustainable Practices: Sustainability is becoming a central focus in the pipe tobacco industry, as consumers prefer brands that demonstrate environmental responsibility