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Fibrotic HP is very similar to idiopathic pulmonary fibrosis (IPF) and is probably responsible for recruiting fibrocytes and the activation of fibroblasts, and therefore, the uncontrolled deposition of ECM-related proteins [186]

While large-scale policy action is essential, individuals can reduce risk by: Monitoring daily AQI levels Avoiding outdoor exercise on high-pollution days Using air purifiers indoors Seeking medical advice for persistent respiratory symptoms Do not normalise breathlessness or chronic cough, Dr Kumar warns

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