This rate of long-term gum use among nonsmokers is consistent with other studies that showed rates of use around 22% at one year (Hughes, 1998)
"South Atlantic Tobacco in the Atlantic World", Oxford Research Encyclopedia of Latin American History , Oxford University Press, doi:10.1093/acrefore/9780199366439.013.1215, ISBN 978-0-19-936643-9, retrieved 6 April 2026 Portuguese and Amsterdam sephardic merchants in the tobacco trade: Tierra Firme and Hispaniola in the early seventeenth century
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Alcohol, however, creates oxidative stress in the body, which damages cells, including sperm
