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The Maya and Aztec cultures valued damiana for increasing sexual vitality and emotional well-being, traditions that persist in modern herbalism and are now being validated by pharmacological research.14 Beyond anxiety reduction, damiana extracts have demonstrated the ability to inhibit dopamine, noradrenaline, and serotonin reuptake in rat synaptosome models, suggesting mood-enhancing and potentially antidepressant mechanisms

A two-tailed P value of 0.05 was considered statistically significant

Smoking during pregnancy has long been associated with adverse maternal and fetal outcomes

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