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I have Homogenious/Diffused Emphysema, my doctor put me on Spiriva back in 2002 before it came into the US, I got it from Europe. This drug has helped to contract the hyperexpansion of my lungs so they can function better and by doing so has taken my functional vital capacity from 30% to 50%. I only take Spiriva nothing else one capsule every morning. I do not know why more doctors are not prescribing it. For me it has been the closest thing to lung volume reduction surgery without the surgery.

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