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COPD is characterized by persistent respiratory symptoms and airflow limitation, making it difficult to breathe

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The neurologist suggested cutting back on cigarettes slowly: Starting with a fixed daily number of cigarettes and reducing weekly can also help smokers gain control over the quitting process and bring it to a close by a certain date. She advised asking healthcare providers about nicotine replacement therapy (NRT) but cautioned that is a temporary and potentially addictive tool

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Tobacco and FDA Regulation