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Additionally, participants were included in the COPD group if they had pulmonary function test results with a forced expiratory volume in 1 s (FEV 1 ) to forced vital capacity (FVC) ratio below 0.7

This condition physically restricts the throat and creates intense pain while swallowing

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Using cigars is associated with increased mortality risk from lung cancer, tobacco-related cancers, and all-causes [4], although the risks may differ based on product sub-type and characteristics (e.g., smoke pH, which affects ease of inhalation) [2]

W., Dasgupta, P., & Chantler, P