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Manilow encouraged his fans to get tested if you have even the slightest symptom. The ACS recommends lung cancer screening using computed tomography (CT) scans for individuals 55 to 74 years old who have at least a 30-year history of smoking a pack a day and for those who currently smoke or quit within the past 15 years

The smoke particles themselves are part of the problem

Toxicol Lett (2012) 214(3):30713

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