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When you smoke, these delicate tissues are exposed to harmful chemicals, leading to: a) Hoarseness and Voice Changes One of the earliest signs of smoking-related damage is a hoarse, raspy, or deeper voice

You then have the opportunity to consult with a medical professional about any positive results and treatment options

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The executive summary of its new report included this important qualifier : Though it is unknown whether a causal relationship between nicotine and mental health conditions exists , there are troubling links between vaping nicotine and worsening symptoms of depression and anxiety, as well as higher odds of having a depression diagnosis among those who use nicotine [my emphasis]