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I feel that it is dramatic in the book and in my mind, and it will be a brilliant scene in the movie

Compared to the never smokers, those with normal spirometry but impaired lung function had worse quality of life scores, more trouble walking and evidence of airway thickening and emphysema on their CT scans

5 (2): E35E37

If you havent seen any Ghibli films yet, this is a great place to start

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For example, excess acid production can lead to gastritis (stomach inflammation) and stomach ulcers