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EasyRespiratoryChronic obstructive pulmonary diseaseuk-plab-1

A 55-year-old man with a 30-pack-year smoking history presents with chronic cough and exertional breathlessness. Spirometry shows FEV1/FVC ratio of 0.6 with reduced FEV1 and minimal reversibility. What is the most appropriate initial inhaled treatment according to NICE COPD guidance?

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