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Smoking and alcohol directly affect sexual performance by reducing blood flow, disturbing hormone balance, and lowering stamina. Long term use can lead to erectile issues, low libido, and poor overall sexual health. Healthy Top Stories Surgeon General Report Accuses Cigarette Smoking of Causing Diabetes, Arthritis and Erectile Dysfunction AllGov News Smoking and Erectile Dysfunction Connection Forum Health Can Erectile Dysfunction Be Improved by Quitting Smoking? Premier Men's Medical Men's Sexual Health & Wellness Clinic
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