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COPD includes two conditions, which occur simultaneously most of the time: Chronic bronchitis: Permanent inflammation of the bronchial tubes and the production of mucus (secretions) that cause constant coughing, breathing difficulties and shortness of breath Emphysema: Degenerative disease due to the progressive destruction of lung tissue that reduces the amount of oxygen available in the body

He goes into the science behind this and tells us that this is because any form of smoking deprives the skin of oxygen and decreases the normal blood flow

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