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I kept my composure and said politely that he was mistaken

Clinically and mechanistically, PAH is distinguished by selective pathological remodeling of small distal pulmonary arteries, strong genetic susceptibility (e.g., bone morphogenetic protein type II receptor [BMPR2] gene mutations), and progressive pulmonary vascular dysfunction independent of left heart or parenchymal lung disease, making it the most extensively studied PH subtype in the context of molecular regulatory mechanisms (Ruopp and Cockrill 2022)

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Being around secondhand smoke for a long time can still harm bones in kids and teens while their bones are growing