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3.Free radicals and oxidants: Trigger chronic inflammation and oxidative stress, accelerating tissue damage and atherosclerosis

Byproducts of nicotine, particularly cotinine, can stay in your system for more than 10 days

Research shows that nicotine stays in the blood longer for people who use smokeless tobacco than for people who smoke

Potential Mechanisms of Smoking's Effect on Testosterone The exact mechanisms by which smoking affects testosterone levels are not fully understood and require further research

You may need to see a gastroenterologist, a doctor who specializes in the digestive tract, for a proper diagnosis