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Hrelec adds that if you smoke and notice voice changes that last for more than three weeks, seek care from a laryngologist (voice box specialist) or ENT
The primary causative factor is chewing of the areca nut
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adults reported vaping in the past week, a figure that has remained steady between 6% and 8% since 2019
Effect sizes for within-group difference were summarized as Hedges g, and effect size for group time interaction estimated as Cohens f 2 obtained from linear mixed model
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