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While these studies both attempted to different degrees to control contextual and personal factors that could be linked to smoking, this is easier said than done

(Regulation) Department of Public Health Commonwealth of Massachusetts

The filmmaker, 78, now needs supplemental oxygen for most activities as he said: 'It's like you're walking around with a plastic bag around your head.' Lynch started smoking aged eight but the consequences of the lifelong habit caught up with him in 2020 when he was diagnosed with the debilitating lung disease

According to Liu et al

These decreases in smokers resulted in an estimated savings of as much as $4.2 billion in personal health care expenditures and ultimately a healthier workforce with increased productivity and fewer sick days for employees and their employers