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b) Vocal Cord Nodules and Polyps Over time, smoking can cause abnormal growths on the vocal cords, such as: Vocal nodules Small, callus-like growths that make your voice sound rough or breathy

In 2021, more than a quarter (27.6%) of high school e-cigarette users and 8.3% of current middle school e-cigarette users reported vaping daily, according to the 2021 National Youth Tobacco Survey

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The New England Journal of Medicine

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