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Patients with features of both asthma and COPD have more respiratory symptoms, more frequent exacerbations, worse quality of life, a more rapid decline in lung function, greater utilization of health care resources and higher mortality compared with patients with either asthma or COPD alone [10, 47]

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I ream the cake when it starts to affect the taste, some parts of the chamber have gone away with the cake and honestly, I wish it burnt out to finally get rid of it but no, it's still providing a satisfying smoke just like any other pipe, the only difference is it needs about a week of rest and it looks very unattractive

But theres a chilling side to the Nazi obsession with sugar, too