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[DOI] [PubMed] [Google Scholar] 15.Sinor PN, Gupta PC, Murti PR, Bhonsle RB, Daftary DK, Mehta FS, et al

One other possible explanation might be gene expression change in sperm by nicotine exposure ( in vitro and in vivo )

Additionally, body fat triggers cortisol release and inflammatory compounds called adipocytokines that worsen GERD

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The latter group was eventually joined by Italy, Japan, and the United States
