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You might notice this effect during your day to day when you go up the stairs, walk briskly, or exercise

Discussion In this nationwide population-based cohort with comprehensive data on health status and medical service utilization of the entire Korean population, smoking reduction and smoking cessation were independently associated with a lower risk of lung cancer development in patients with COPD who smoked less than 30 pack-years, after adjusting for major confounders, including cumulative smoking amount and sociodemographic factors