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The second focus is on the exposure you have due to the work you do or your living arrangements

63 Careful evaluation of all available data from the JMDC database revealed a significant reduction in the number of hospitalisations for COPD and a non-significant reduction in hospitalisations for COPD plus lower respiratory tract infections after the 2014 THS introduction (Figure 2)

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There are many medications that can alter the mucosal lining and allow irritation to begin

While this is all true, nicotine is a drug, and not only that, its a highly addictive one