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Nicotine exposure also lowers the levels of two important enzymes of the Krebs cycle, cytosolic malate dehydrogenase and aconitase 2 suggesting that the testicular energy metabolism is slowing down, which subsequently lowers the energy needed for sperm motility [47,48]

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Between 2011 to 2018, menthol cigarette use declined for non-Hispanic white youth but not for Hispanic or non-Hispanic Black youth, the agency says