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Its validity may be due to the inclusion of the time-to-first-cigarette in the morning (TTFC) item, which appears to be especially strongly associated with relapse likelihood 16,17,18 and may be an especially informative measure of heritability of ND 19

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3Shortness of Breath Smoking damages your airways, including the large air sacs (bronchi) that bring air into the lungs and small air sacs in your lungs (alveoli) that deliver oxygen to your bloodstream