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If sperm cannot swim appropriately, they may have a problem reaching the egg and fertilizing it

Smoking-induced DNA methylation changes can affect the expression of genes involved in hormone metabolism, inflammation, and tissue remodeling, potentially promoting the development and progression of endometriosis 104,117

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Both the physical addiction and behavioral actions must be addressed to stop smoking successfully

Taken together, these findings suggest that while e-cigarettes hold potential as a harm reduction tool, their benefits are not being equitably distributed across socioeconomic lines