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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 can smoking cigarettes cause erectile dysfunction CDC 18 million males over age 20 suffer from erectile In Canada, each cigarette will get a warning label: 'poison in every puff' Bloomberg Can Vaping Cause Erectile Dysfunction? Mosh Smoking can make you impotent Back

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