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These alterations in oral bacterial ecology might have implications for oral health [73]

Moreover, PY-dependent increase in cardiovascular risk among smokers was amplified in those with lower ages at initiation, and earlier smoking initiation under age 30 was associated with progressively higher cardiovascular risks and all-cause mortality

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Some common symptoms of COPD include: Shortness of breath, especially during physical activity Wheezing or a whistling sound when you breathe Chest tightness or pain Chronic cough that produces mucus (often called smoker's cough) Fatigue or tiredness Unintended weight loss It's important to note that these symptoms often develop slowly over time, so they may not be immediately noticeable