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The Risks of Smoking Despite Potential Testosterone Effects Even if smoking were associated with increased testosterone levels, the overall health risks far outweigh any potential hormonal benefits: Fertility Issues: Smoking has been linked to reduced semen quality, including lower sperm count and motility, which can impair fertility

Tobacco smoke impairs the respiratory system and prevents it from clearing mucus and toxins, such as dust particles, from the lungs

"Nicotine replacement therapy, the patch, the gum, things people know about they're widely available and importantly, they're standardized and they're safe and they don't put toxins in the lung," said Stanbrook, who wrote an editorial for CMAJ about the guideline