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Tobacco smoking, COPD and multimorbidity People with COPD also have a higher risk for other health problems, both because of shared risk factors and due to the systemic effects of COPD [3, 51]

as well as cigarette wrapping papers and, e-cigarettes (alternative nicotine products is defined as any noncombustible that contains nicotine, whether natural or synethic, but does not contain tobacco and is intended for human consumption whether chewed, absorbed, dissolved, ingested, or by other means.) North Carolina Certification and Directory of Vapor Products and Consumable Products

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