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Although recent efforts have attempted to strengthen and improve collaboration between states and tribes, it remains an ongoing issue (Crepelle, 2020

Paoletti L, De Berardis B, Arrizza L, Granato V

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The effects of smoking on semen parameters Smoking tobacco has consistently been shown to reduce semen volume, sperm concentration, morphology, motility, and viability and increase the proportion of sperm with abnormal morphology [71, 101, 108, 109, 149]