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Researchers are still working to understand the impact of nicotine in the brain of young smokers, particularly now that e-cigarette use among youth has increased rapidly

Vocal cord scarring (with decreased range) Laryngitis Traumatic injuries (polyps, nodules, etc) Pre-cancerous changes Lung disease Vocal cord scarring While vocal cord damage does result in raspiness, this is often something singers desire

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Indian J Dent Res 2010;21:52831

The best place to start is by speaking to your local pharmacist about stop smoking therapies, which could include nicotine patches, gum or sprays