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Again, notwithstanding the temporary measures implemented in response to the PHE for COVID-19, we have established this immediate availability requirement to mean in-person, physical, not virtual, availability (please see the April 6, 2020 IFC (85 FR 19245) and the CY 2022 PFS final rule (86 FR 65062))

A report in the Daily Beast (June 12, 2018) talks about an 18-year-old woman in Pennsylvania who developed wet lung after using e-cigarettes for just three weeks

So reducing the number of cigarettes you smoke a day is a good first step

Its a trap because if you misunderstand it and assume you have more time than you do, youll walk in unprepared