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Major reasons behind CF providers to mention their particular customers included quickly decreasing lung purpose (91percent) and a forced expiratory volume in 1 s (FEV1) below 30% predicted (74%). The greatest obstacles to referral both for CF and non-CF providers included energetic tobacco use (65 and 96%, respectively, would not refer), and energetic alcohol or other substance usage or reliance (63 and 80%). Also, up to 42% of CF providers would potentially postpone their recommendation if trip