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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

All these exist alongside the many country flags and depictions of diverse plants and animals, bringing to mind a natural history museum

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Thus, a subject who smoked 115cig/day for more than 40 years had a COPD risk of 3.4 (95% CI: 2.64.5), but a person who smoked 3140cig/day during the same time had a COPD risk of 4.8 (95% CI: 1.910.8) (Table 1 of the supplementary material)