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While acute tobacco smoking may cause ED in healthy subjects, clinical studies were also able to demonstrate additive negative effects of tobacco smoking and other pre-existing cardiovascular risk factors (such as hyperlipidemia) on ED [36]

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Further studies with a large sample size of male SCZ patients who smoke, with a longitudinal design of various antipsychotics, are needed to establish this relationship between smoking and the alleviation of negative symptoms in SCZ patients

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