Cardiovascular Risk Marijuana use, mechanistically due to an increase in catecholamines, cardiac workload, and carboxyhemoglobin levels as well as episodes of significant postural hypotension, may trigger an increase in the risk of myocardial infarction, especially in older patients at risk for cardiovascular disease
Smoking can alter hormone levels such as estrogen and testosterone, negatively affecting ovulation in women and sperm production in men, ultimately impacting fertility.
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Poly-tobacco product users had 1.44 times the odds compared to non-users (95% CI: 1.311.58), followed by e-cigarette-only users with 1.38 times the odds (95% CI: 1.021.87), users of cigars, pipes, or smokeless tobacco with 1.15 times the odds (95% CI: 1.001.33), and cigarette-only users (OR=1.17