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The toxic dose of nicotine for adults is around 50-60 mg, but nicotine poisoning can start at much lower levels, especially in individuals who have a lower tolerance or are new to nicotine use

doi: 10.1371/journal.pone.0157337 Toxicol Sci

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Chest infections, breathing problems, and decreased lung capacity are all potential issues facing patients who smoke before or after their surgery

Your provider might use the following tests to help diagnose COPD: Pulmonary function tests