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This imbalance leads to oxidative stress, damaging sperm membranes and affecting their survival

Certain medical conditions and medications increase risk, including hypothyroidism, obstructive sleep apnoea, hypopituitarism, and medications such as corticosteroids, tamoxifen, amiodarone, valproate, and some antiretroviral drugs (though medication-induced steatosis is less common)

Vaping can even cause acute respiratory failure

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The first variable focuses on respondents subjective agreement, where the dependent variable reflects respondents agreement that plastic waste is burned in household fires, based on Fig