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Nicotine can be delivered in a variety of ways, including: Combustible tobacco (cigarettes, cigars) Smokeless tobacco (chew, snuff) E-cigarettes and vapes Nicotine replacement therapy (patches, gum, lozenges) Nicotine pouches (oral dissolvable forms like Zyn) Each method has its own risk profile, but they all share one thing in common: nicotines interaction with the nervous and endocrine systems, which can affect hormones, including testosterone

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