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Common dysphonia symptoms include: A hoarse , raspy, or breathy voice A weak or quieter voice A tight or strained feeling when talking Voice breaks or has a shaky, uneven sound Changes in pitch (higher or lower voice than usual) Vocal fatigue, especially after talking or singing Throat discomfort, soreness, or effort when speaking These symptoms may appear only during long conversations, presentations, or singing

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I think the best way to convince teens/youth not to smoke would be to teach them about the side effects academically, then have a peer who smokes tell them about all the downsides, and then create a safe environment where smoking is collectively viewed as uncool. Dr

House Committee, Chairman, 1990-1991