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Question category: Respiratory

A 40 old female presents with shortness of breath. She states she has suffered from numerous chest infections and coughs up large volumes of sputum most days. She also complains of yellow thickened nails which are slow growing. She is also complaining of significant ankle swelling. On examination there is reduced air entry on the right side with dullness to percussion and reduced vocal resonance. Given the most likely diagnosis, what supplementation might be useful?

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