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In addition, a gradual increase in the ability to exercise or perform daily activities, a persistent cough and wheezing problems should also suggest a regular visit to the physician

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Thanks for pointing it out though, it has become another metaphor for me in my journey towards health by never taking another puff

Second, we estimated multivariable linear regression models of cigarettes smoked per day, conditional on the frequency of vaping (categorized as every-day, some-days, ever but no longer, never), psychological distress (categorized as NPD, MPD, and SPD), the interaction of vaping and psychological distress (these variables were demeaned, or centered so that main effect coefficients could be directly interpreted 26 ), and other covariates described above