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or 4) dual use of both traditional cigarettes and e-cigarettes (1,858 people)

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Being open about smoking, vaping, or nicotine use helps them tailor your care, monitor risks more closely, and offer guidance that supports your overall eye health

To help mitigate these concerns, the prevalence estimates of COPD in our study are largely consistent with those reported in NHANES analyses, which included spirometry in a subset of participants [19, 20], providing confidence in our study endpoint

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