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Spilich, G

[17] The occurrence of both asthma and COPD, referred to as Asthma-COPD overlap (ACO), is associated with increased severity of respiratory symptoms, increased hospital admission, and worse quality of life, compared to either asthma or COPD alone [124] Asthma patients who have been exposed to higher levels of air pollution are observed to be almost three times more likely to develop ACO

Additionally, smoking can produce phlegm that can congest your lungs

[DOI] [PMC free article] [PubMed] [Google Scholar] Ratsch A., Bogossian F., Steadman K

Ample addiction options exist that are outpatient

[PubMed: 19537949] Holford TR, Levy DT, McKay LA, Clarke L, Racine B, Meza R, Land S, Jeon J, Feurer EJ