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SMOKING AND IMPOTENCE Smoking and alcohol directly affect sexual performance by reducing blood flow, disturbing hormone balance, and lowering stamina. Long term use can lead to erectile issues, low libido, and poor overall sexual health. Healthy Smoking and Erectile Dysfunction: What's the Connection? Many people think smoking only harms the lungs or the heart. In reality, smoking can also have a major impact on men's sexual healthparticularly by SMSNA How Cigarette Smoking Can Contribute to Erectile Dysfunction Smoking and Erectile Dysfunction: Quitting Helps

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