If you smoke 10 or less cigarettes per day, start with Step 2
Its probably a combination of these things
Medications for COPD include long-acting muscarinic antagonists (LAMAs), long-acting beta-2 agonists (LABAs), inhaled corticosteroids (ICSs) plus LABAs, short-acting muscarinic antagonists (SAMAs), short-acting beta-2 agonists (SABAs), methylxanthines, systemic beta agonists, and phosphodiesterase-4 (PDE-4) inhibitor [4, 21, 22]
Tobacco companies add menthol to cigarettes, chew, and vapes
Smoking reduces the nutrient exchange between the bone and spinal disc, which causes the disc to break down
Tissue from the latter group revealed that T-cells involved in inflammation had infiltrated the nasal lining where smell nerve cells are found