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The ventral nerve cord is conspicuously double and connects a chain of ganglia on the floor of the perineural sinus (Fig 24)

Their effects on sperm are both well-documented and serious: Reduced sperm count: Smokers consistently show 15 to 25 percent lower sperm concentrations compared to non-smokers Impaired sperm motility: The ability of sperm to move progressively toward an egg is significantly reduced in men who smoke Abnormal sperm morphology: The proportion of normally shaped sperm is lower in tobacco users, reducing the chance of successful fertilisation Elevated sperm DNA fragmentation: This is perhaps the most critical effect

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A paper published in January 2021 on a controlled trial of prolonged use of intranasal sodium citrate in quantitative and qualitative OD in 60 patients showed that there may be some benefit in treating phantosmia with the substance ( Eur Arch Otorhinolaryngol