However, the specific mechanism through which elevated cotinine may lead to an increase in total testosterone remains uncertain, prompting consideration of various potential explanations
Jasjit Ahluwalia, a professor of behavioral and social sciences and medicine, noted that some college students approach smoking casually, treating nicotine sort of like caffeine. He said that nicotine is a recreational drug for many smokers who might enjoy a specific aspect of smoking a cigarette or the habit of having one at a set time in the day
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