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Pick up your butts

Limitations Cannot distinguish nicotine source: Smoking, vaping, nicotine replacement therapy, or even smokeless tobacco

Linneberg A, Jacobsen RK, Skaaby T, Taylor AE, Fluharty ME, Jeppesen JL, Bjorngaard JH, Asvold BO, Gabrielsen ME, Campbell A, et al

However, it is important to note that the clinical significance of elevated testosterone levels due to smoking requires further investigation