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For cardiovascular disease, smoking impairs endothelial function, reduces nitric oxide, and promotes atherosclerosis through oxidized LDL and effects on adhesion molecules (Kunierczyk 2023)

Measures Questionnaire We obtained information on demographics, and levels of secondhand smoke exposure at home, work or study centre, and during leisure time

But smoking itself is not a direct cause of erectile dysfunction

Oral Health Educator 385.321.4099 Kara Taylor, RDH, BSDH Oral Health Program Coordinator 385.454.0534

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Although a few other studies had reported the upper lung zones to be predominantly affected [26], Park et al