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Brahmbhatt, MD, a board-certified urologist with Orlando Health, states that smoking cigars and other tobacco products can indeed increase testosterone levels of users due to stress response mechanisms brought by their nicotine content

But cigars

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The main risk of long-term use is a continued dependence on nicotine, but since nicotine gum lacks the harmful chemicals found in cigarettes, the risks are significantly lower

In particular, the findings emphasize the need for further research on the long-term effects of cannabis use and the importance of integrating oral health awareness into substance use disorder treatment and counseling