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"Consumption went way down, and some people, like myself, quit," Rohlf said

From many of the above mechanisms (Table 1), we observe that smoking can cause a series of injuries in the airway of asthmatics, and then through inflammatory responses (Figure 1) and/or various damage repair mechanisms (Figure 2) bring about the presence of airway remodeling characterized by more severe irreversible airflow limitation and persistent AHR

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The exclusion of the COVID-19 period is a limitation, as the pandemic likely disrupted smoking cessation services and patient behaviour