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Even a single dose of nicotine can reduce erectile function by up to 23% , even in healthy men whove never smoked regularly.[2] Nicotine can also cause other sexual dysfunction, like lower sex drive and infertility, by harming sperm motility in men
Constant nicotine action on the lower esophageal sphincter may further exacerbate acid reflux and heartburn compared to cigarette smoking
Its called silent reflux when this happens without heartburn
as in wring, wreath
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