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The two clinical phenotypes of COPD are emphysema and bronchiolitis [7]

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Among men, the pooled relative risk for coronary heart disease was 1.48 for smoking one cigarette per day and 2.04 for 20 cigarettes per day, using all studies, but 1.74 and 2.27 among studies in which the relative risk had been adjusted for multiple confounders

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You might take 30 puffs to feel what 15 puffs of a cigarette gave you, simply because the "hit" is more gradual