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This decrease in co-use contrasts sharply with the behavior of older age groups where co-use has been on the rise

Recent studies conducted in DC found higher proportions of flavored tobacco product advertising in predominantly Black neighborhoods compared to other neighborhoods 6,13

This occurs because smoking increases levels of liver enzymes that break down the drugs

While ED symptoms can be caused by heavy smoking and alcohol consumption, The Mayo Clinic has identified several other physical and psychological factors that can affect erectile function [9]

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