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Several participants described smoking as a coping mechanism for loneliness and trauma: I would say life stress, work, all of that a habit is really hard to break. (Participant 5) What prevents me from quitting smoking anxiety when I get anxious the first thing I do is lighting up the cigarette. (Participant 6) Exercise barriers included shortness of breath, asthma, fear of exacerbating symptoms, and lack of confidence and knowledge (i.e

"You're always better off if you quit smoking

Were they from an obscure Irish shanty she found in an old newspaper

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Natural history of pulmonary hypertension in a series of 131 patients with chronic obstructive lung disease American Journal of Respiratory and Critical Care Medicine