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I think 250 is a much more realistic number, and it certainly isnt the equivalent of 1 and a half packs of cigarettes

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Another interesting comparison lies in product amount

Billable/ Specific Code: Applicable To Chronic obstructive airway disease NOS Chronic obstructive lung disease NOS Approximate Synonyms: Asthma, chronic obstructive pulmonary disease (copd) Asthma, chronic obstructive without status asthmaticus Asthmatic bronchitis, chronic Bronchiolitis fibrosa obliterans Chronic asthmatic bronchitis Chronic bronchitis, obstructive Chronic obstructive airway disease with asthma Chronic obstructive asthma Chronic obstructive lung disease Chronic obstructive pulmonary disease (copd) Chronic obstructive pulmonary disease (copd) mild Chronic obstructive pulmonary disease (copd) moderate Chronic obstructive pulmonary disease (copd) severe Emphysematous bronchitis End stage chronic obstructive airways disease Mild chronic obstructive pulmonary disease Moderate chronic obstructive pulmonary disease Severe chronic obstructive pulmonary disease Clinical Information A chronic and progressive lung disorder characterized by the loss of elasticity of the bronchial tree and the air sacs, destruction of the air sacs wall, thickening of the bronchial wall, and mucous accumulation in the bronchial tree