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Your physical health will begin to improve in the following ways: Lung function - Your lungs will start to work much better over the course of the first year*2 making any kind of activity much easier to manage Circulation - With better circulation, youll find it easier to exercise and stay active which, in turn, results in healthy heart function, and enhanced physical fitness Breathlessness - Breathing will get progressively easier and any lingering smokers cough will go away