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They determined: Smoking lowers the pitch of the voice (fundamental frequency Smoking lowers the maximum phonation time (the length of time you can make sound before needing to breathe again) Smoking may cause voice disorders, such as cancer, although functional disorders (i.e., injury) were not clearly proven Smoking can dry the vocal cord mucosa and irritate the vocal cords Smoking causes vocal cord inflammation Pulmonary function is weakened (breath supply and vocal power) Of note, it is not the tobacco that is the culprit

The overall tax burden at the state level is generally regressive, meaning that as a percentage of income, lower earners pay more in taxes than higher earners

Vasculitis refers to the condition where affected people experience the clotting of blood at any part of their body and also problems due to tissue damage

Because so few adults begin smoking after the age of 21 (see the Goal Area 1: Preventing Commercial Tobacco Use section), this difference between age cohorts may indicate that experimentation with commercial tobacco and nicotine products is becoming less common over time