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You both need to realize that the longer he uses the more difficult it will be to quit, and the longer he uses the greater the risk of developing serious consequences

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These exposures share common pathways, including oxidative stress, epigenetic regulation of lung development genes, and persistent airway inflammation [23,24,25]

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Pulmonary rehabilitation participation: Patients completing pulm rehab (G0424) should have this documented in the clinical record it is a quality measure and supports the intensity of COPD management documentation for risk adjustment MEAT