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COPD starts by making it hard to be active, such as playing with a grandchild, then usually gets worse, until climbing a short set of stairs or even walking to get the mail is exhausting or impossible

But there is nothing close to a consensus

Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol Cigarette (University of Chicago Press, 2021)

Nicotine can also increase the risk of heart disease

At the same time, many tobacco companies have diversified into reduced-risk products such as heated tobacco devices and nicotine pouches

(c) Bronchoscopy to evaluate entire airway, intubate if edema or blistering is seen