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Key Early Signs That Smokers Often Ignore It starts subtly, but these symptoms progress with continued smoking: Morning voice roughness Strain while speaking Frequent throat clearing Reduced pitch range Cracking voice Difficulty speaking for long hours These are early warnings that vocal cords are inflamed

Smoking cigarettes are meant to be light and easy on the inhale, with filters and paper that dont add much heft to the smoke

The other factor was the not so gentle fueling of this demand with modern advertising and marketing techniques