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GOLD guidelines establish recommendations for patients with impaired lung function but do not include recommendations on how to evaluate individuals with risk factors or individuals who, without meeting COPD spirometric criteria, have a decline in lung function that inevitably leads to the establishment of the disease with the onset of symptoms and limitations in their daily activities

Mental Health: People with mental health disorders such as depression, anxiety, or post-traumatic stress disorder (PTSD) are at a higher risk of alcohol misuse as alcohol may be used as a coping mechanism

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It is also effective in bars, restaurants and breakrooms.