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Conclusions Despite the lack of solid evidence from interventional studies, which are for the most part not feasible in humans, it is clear that smoking, alcohol use and recreational drug consumption are somehow able to impair male fertility, with possible synergistic, rather than addictive, effects

Br J Ind Med, 48: 229-233

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As such, healthcare providers and policy makers should focus on adopting and implementing tobacco harm reduction strategies in HIV care, especially in sub-Saharan Africa known as epicenter of HIV pandemic with highest number of active tobacco smoking among PLHIV on ART

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