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COPD starts by making it hard to be active, such as playing with a grandchild, then usually gets worse, until climbing a short set of stairs or even walking to get the mail is exhausting or impossible

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This, in turn, could alter or obscure atypical levels of these substances, preventing doctors from getting a clear picture of a persons health

In the spring of 2016, Arlen defied odds yet again and after spending nearly a decade in a wheelchair paralyzed from the waist down, she was able to learn how to take one step after another and eventually learn how to walk again