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Possible contributing factors include: Reduced blood flow to the inner ear Increased oxidative stress Damage to delicate hearing structures Smoking combined with loud noise exposure may further increase the likelihood of hearing damage over time

Hes written for a number of other publications, too, including Time, The Washington Post and Christianity Today

doi:10.1016/j.ijantimicag.2020.105924

[2] Prenatal exposure to paternal smoking and likelihood for autism spectrum disorder

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