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INTRODUCTION Over the past decade, the fire service demonstrated an exceptionally high prevalence of smokeless tobacco (SLT) use (1118%) 1-4
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But the numbers indicate that cigarettes are growing in popularity, with some brands even making inroads with Gen Z, a generation that typically abstains from vices relative to older consumers
The only major distinction is that synthetic nicotine has no relationship to the tobacco plant, while freebase nicotine is the most basic and potent form of naturally derived tobacco extract
Some research suggests that smoking may enhance hepatic testosterone metabolism, potentially resulting in decreased serum testosterone levels 8
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