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(The CDC did not share the participants' last names.) The CDC also featured Elizabeth B., 62, who started smoking menthol cigarettes at age 18

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A low level of sperm occurs when a man's semen contains a smaller amount of male sperm cells than expected

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The large discrepancy between reported consumption and actual consumption is most likely the combined effect of underreporting the intensity of smoking (number of daily cigarettes), misreporting the smoking status and sampling bias