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Stage II: moderate COPD (IIA: FEV 1 /FVC 40 ml), 34% had normal decline of FEV 1 (annual decline of FEV 1 between 20-39.9 ml) and the remaining 34% were non decliners (annual decline of FEV 1 0-19.9 ml), concluding that the decline of FEV 1 among smokers is not homogeneous, but that individuals with rapid decline starting from a normal FEV 1 , had an increased risk of developing COPD, setting the 36-month period as the appropriate time to control the decline of FEV 1

Another approach uses: Glide, Switch, Recovery, Entry, Catch & Pull, Push, and Finish

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