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19,20 In a cross-sectional analysis of participants with COPD in the SubPopulations and InteRmediate Outcome Measures In COPD Study (SPIROMICS) with a tobacco smoking history of 20 pack years, Morris et al 10 reported higher values for FEV 1 percentage (%) predicted (pred) and a lower percentage of emphysema on HRCT images in both former marijuana smokers (FMSs) and current marijuana smokers (CMSs), compared with never marijuana smokers (NMSs) who smoked tobacco only, after adjustments for relevant variables

And Carza was obviously even more uncertain

Which is to say, back to normal

When combined with high blood sugar levels, smoking can make nerve damage more severe

I like Burley but it needs to have the ph lowered so it doesn't bite