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62 As early as the 20th century, the Lung Health Study showed in a 5-year follow-up of 5,887 smokers with early COPD that the annual rate of decline in FEV 1 was 0.33% per year in complete quitters, significantly lower than that of intermittent smokers and continuous smokers

Tar in cigarettes gets collected in the airways and it hampers lung natural cleansing mechanisms and lungs dont perform at the perfect level, due to which muscles become oxygen-starved, and affects your physical performance and reduces endurance and muscle recovery rate

[Effect of tobacco consumption on the spermatogenesis in males with idiopathic infertility]