Justsaying – I’m Not a Poisek, but I always heard you can Pasken for yourself. And that’s what I’m doing.
I’m Paskening for myself that Sofek Nefashos is even a far Chasash.
I base this on that Reb Moshe Ztl., held Smoking would be Ossur, if not for Hakol Dushin Bo. A person who smokes usually doesn’t get affected for many years, yet it would be Ossur because of Safek Nefashos.
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