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(Update: These "letters" may not be letters at all and in fact be symbols as the 2nd character almost looks like a crown symbol.)Again, I have searched and searched and come up empty handed every time

This study aimed to investigate the effects of changes in smoking habits after COPD diagnosis on lung cancer development in patients who smoked less than 30 pack-years

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Decreased physical fitness and athletic performance Smoking causes tightening of the airwaves, leading to difficulty and discomfort when trying to breathe, and decreased athletic performance