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Because this survey was web-based, only those with access to a computer were able to participate, potentially underrepresenting individuals from lower socioeconomic classes

Their effects on sperm are both well-documented and serious: Reduced sperm count: Smokers consistently show 15 to 25 percent lower sperm concentrations compared to non-smokers Impaired sperm motility: The ability of sperm to move progressively toward an egg is significantly reduced in men who smoke Abnormal sperm morphology: The proportion of normally shaped sperm is lower in tobacco users, reducing the chance of successful fertilisation Elevated sperm DNA fragmentation: This is perhaps the most critical effect

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Therefore, we believe that there would be no burden imposed on RHCs or FQHCs related to this proposal

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