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Certain skin types are at a higher risk than others, but there are some causes across the board that are likely to result in Melanoma- prolonged sun exposure in small periods leading to blistering burns, family or genetic history of melanoma, a large number of moles, dense freckles and/or developing freckles after sun exposure, those with light blo

1)Pull open the dust cap and mouthpiece of the HandiHaler. 2)Remove one SPIRIVA capsule from its package immediately before use. 3)PLACE the capsule in the center chamber. 4)CLOSE the mouthpiece firmly until you hear a click. 5)Keep the mouthpiece pointing up.  6)BREATHE OUT all the way. 7)Keep your head upright.

The symptoms of metastasis in lungs can be seen as  -  1. A persistent cough 2. coughing up blood or bloody phlegm 3. chest pain 4. shortness of breath 5. wheezing 6. weakness 7. sudden weight reduction.