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Over time, many people need to smoke more nicotine more often to achieve the same effects

However, it's important to note that individual responses to smoking can vary, and other factors such as lifestyle, genetics, and overall health can influence testosterone levels

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In a randomized trial with 2,348 adolescents from public schools, the "Education Against Tobacco" program reduced the increase in smoking prevalence compared to the control group over 12 months, with a more evident effect among boys and students with low academic performance

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