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Tar accumulates in the lungs, which increases the risk of heart disease, lung cancer and respiratory diseases

Obviously, sex is an energetic activity which requires a certain level of cardio fitness, so if smoking causes personal fitness levels to drop, it could have a very real impact on a mans ability to perform sexually

The study showed that smokers reported significantly worse pain intensities, pain interference, pain behaviors, physical functioning, fatigue, sleep-related impairment, sleep disturbances, anger, emotional support, depression, and anxiety compared to those who were not smokers

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