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Skeletal muscle wasting Inactivity is common among COPD patients and significantly contributes to many systemic issues of COPD [60], especially during exacerbations [61]

We concluded that in light of the current evidence, interventions aimed at promoting e-cigarettes as attractive and competitive alternatives to cigarette smoking are ethically sound

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While they may have the effect of promoting smoking, if no person involved with the film or production received any payment or other inducement to use a particular product then it is unlikely to constitute purposeful promotion of smoking and is certainly not a form of commercial promotion