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Nevertheless, even if the relative effect of active and passive smoking may be small, it can still have a major impact if large parts of populations are exposed (attributable risk) (Stoddard & Miller, 1995)

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Severe obesity or type 2 diabetes requiring urgent intervention If a patients body mass index (BMI) is in the severe or morbid obesity range, or if they have uncontrolled type 2 diabetes with high blood sugar levels and/or A1C, waiting for thyroid stabilization could delay needed care