Although biomarkers of potential harm exist for most tobacco-related diseases, many are not specific to tobacco and levels are also influenced by diet, occupation, or other lifestyle or environmental factors
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Kakar, P
Rodgman A, Perfetti TA: The chemical components of tobacco and tobacco smoke
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While the evidence is limited, one study found that patients exposed to secondhand smoke (passive smokers) had the same lower pregnancy rates as smokers, though this could be due to effects on the womb, rather than egg quality