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E-cigarette use has been linked to metabolic dysfunction, including prediabetes and impaired fasting glucose regulation, suggesting broader systemic metabolic disruption [137]
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Balouch B, Alnouri G, Valentino W, Sataloff RT, The Effect of Marijuana on the Voice: A Pilot Study, Journal of Voice, 2020
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Paralleling the COVID-19 pandemic have been increases in substance use 14 , which combined with data showing approximately 10.8% of US adults suffering from a substance use disorder (SUD) 15 and recent work using electronic health records (EHRs) to show that individuals with a SUD are at increased risk for COVID-19 16 , suggest identifying potential causal relationships between substance use, SUD and respiratory infectious diseases would have substantial public health benefits
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