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As shown in Figure 3, for a given tidal volume a greater inspiratory effort is needed in smokers with airflow limitation as compared to healthy subjects, such that the greater the slope (b) of VT to effort relationship, the greater the perception of dyspnea

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The report cites a 2011 study in the American Journal of Public Health that found that the state of Washington saved $5 for every $1 it spent on tobacco prevention and cessation programs.