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This new proposal, then, is long past due, Daynard says

Common effects include abnormal mucus composition, reduced epithelial barrier function, impaired phagocytic function, and elevated systemic inflammatory markers [40]

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One poignant example comes from a study conducted at a prominent London fertility clinic, illustrating that among patients undergoing IVF, smokers required nearly twice as many cycles to achieve a live birth compared to non-smokers