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[We would accept] lungs from people under 60 years of age who have only recently died, minor infections in the lungs and relatively clean X-rays are also acceptable

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But the downsides

Continued Use Despite Health Problems Even when individuals begin to experience health issues such as chronic cough, shortness of breath, or more serious conditions like heart disease or lung cancer, they may continue to use nicotine

He also pointed to Pippins challenge to the book Sofia Valdez, Future Prez