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The greater the pack years, the more likely the lungs will have irreversible damage, he noted

Researchers say the odds of developing COPD may be as much as six times greater when people vape and smoke tobacco regularly, compared with those who avoid tobacco products altogether

a "2:1") is called an "Attila the Hun", and a lower second class ("2:2") a "Desmond Tutu", while a third class degree is known as a "Thora Hird" or "Douglas Hurd"

This may require corrective surgery