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Both cigarette smoke and vape aerosols can dry and inflame throat tissues, causing symptoms such as: Burning sensation Sore throat Dryness Frequent throat clearing Irritation when swallowing Many vaping products contain chemicals and flavoring agents that may worsen throat discomfort. Voice Changes and Hoarseness Smoking and vaping can significantly affect the vocal cords and voice quality

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A single 4 mg dose of nicotine decreases heart rate variability in healthy nonsmokers: implications for smoking cessation programs