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In the visuals for her songs and albums, she smokes, including at some concerts in front of her live audiences

Smoking is still the primary, causal risk factor leading to COPD, but environmental exposures, such as exposure to biomass fuel combustion, air pollution, and occupational exposures, and poor lung development (both pre- and post-natal) are increasingly recognized as important causes of COPD [3, 12]

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Over time, this leads to weakened follicles, hair thinning, and hair loss