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But I did it and have stuck to it.' Doctors warn that smoking can cause the vocal cords to become irritated and dried out, which can lead to shifts in how they vibrate and the sound that's produced

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Distress intolerance was measured using the Discomfort Intolerance Scale (DIS) 29 , the Distress Tolerance Scale (DTS) 30 , and the Tolerance of Negative Affective States (TNAS) 31