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Tobacco consumption has been a thing for many centuries, with different civilizations maximizing tobacco in different ways

But Id be less concerned about any negative effects on the voice. Reviewed by Ross Mayerhoff, M.D., an ear, nose and throat specialist who sees patients at Henry Ford Hosital, Henry Ford West Bloomfield Hospital Clinics and Henry Ford Medical Center - Lakeside.

What Should We Tell Our Patients About E-Cigarettes? SpringerLink, Springer US, 9 July 2014, link.springer.com/article/10.1007%2Fs11606-014-2943-5 DRIVENxDESIGN

Dry mouth which can put you at increased risk of cavities, gum inflammation and mouth sores is one example of the impact vaping can have on your mouth

Offer to attend with them to help ease their anxiety until they feel more comfortable going alone