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Dr Suwannapa cited a 2017 report by the Tobacco Control Research and Knowledge Management Centre which surveyed high school and university students

PLoS One (2010) 5(8):e11934.10.1371/journal.pone.0011934 74 Metzler-GuillemainCVictoreroGLepoivreCBergonAYammineMPerrinJet alSperm mRNAs and microRNAs as candidate markers for the impact of toxicants on human spermatogenesis: an application to tobacco smoking

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Its not clear exactly how smoking leads to hair damage, but some possible mechanisms include: Oxidative stress Smoking may cause changes in your body that lead to inflammation and an increase in harmful free radicals that damage DNA, a phenomenon known as oxidative stress