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Symptoms of Tobacco-Induced Fertility Issues You may not notice changes immediately, but signs of sperm damage due to tobacco can include: Difficulty conceiving after one year of unprotected intercourse Low libido Weak or absent morning erections Changes in semen color or volume Testicular discomfort If you notice these symptoms, consult an andrologist through Quickobook or book a test to evaluate your fertility status

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(4) The ACO does not have any outstanding shared losses or advance investment payments that have not yet been repaid to CMS after reconciliation for the most recent performance year for which CMS completed financial reconciliation