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It triggers the immune system, mediating inflammatory responses

The reduced efficacy of ovarian stimulation in smokers can also affect the overall strategy and planning of IVF cycles

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Ravandi F, Alattar ML, Levis MJ, Garcia-Manero G, Richie MA, Daver NG, Faderl S, Andreeff M, Borthakur G, Burger JA , Kadia TM, Grunwald MR, Dellasala SE, Cortes JE, Kantarjian HM