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In a cross-sectional study of 7716 US adults from the National Health And Nutrition Examination Study cohort, Kempker [34] showed no effect on FEV1/FVC up to 20 joint-years, but in those with greater than 20 joint-years there was a 2.1-fold risk for FEV1/FVC ratio 40 years) residing in Vancouver, Canada, as part of the Burden of Obstructive Lung Diseases (BOLD) study [41], the odds ratio (OR) for chronic respiratory symptoms was not increased among the 49% of respondents who reported ever using marijuana alone and importantly the concurrent use of marijuana and tobacco was associated with a higher OR for respiratory symptoms (OR, 2.59
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In conclusion, while the immediate and long-term effects of quitting smoking on testosterone levels are not definitively understood, there is strong evidence to suggest that quitting smoking can lead to improved overall health outcomes, particularly in relation to testosterone normalization and cardiovascular events
This list of professional athletes who smoke serves as a reminder that talent and discipline can sometimes coexist with personal habits that might seem contradictory to peak athletic performance
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