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In a comment also carried by The Lancet, Jeffrey Koplan, of the Emory Global Health Institute in Atlanta, and Michael Eriksen, of the School of Public Health at Georgia State University in Atlanta, pointed out that China was not only the worlds largest consumer of tobacco, but also the largest grower and cigarette manufacturer

But if you think of it in the context of every other piece of tobacco advertising promotion thats out there that young people and adults and smokers are seeing, this is just a little blip on the radar screen, she adds

Lancet 2015;385:14061417.ArticlePubMed 13

Alterations in hormone levels Tobacco smoking in men has been associated with increased testosterone levels and lower estradiol levels