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However, our outcome data do not suggest a major disruption during the observation period coinciding with the COVID-19 pandemic, as we do not observe any substantial shocks or abrupt changes in sugar content or soft drink sales that would indicate strong COVID-19-related effects

Overuse of Voice Excessive talking, shouting, or singing can strain the throat muscles, leading to temporary inflammation and discomfort

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This is why we also ask our patients to avoid chewing tobacco and vapes, as well as cigarettes