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Symptoms of Spasmodic Dysphonia Symptoms may include voice changes that sound: Breathy and soft, like a whisper Strained and tight Hoarse Broken (because sounds and parts of words are cut off while speaking) Shaky or trembling Causes and Risk Factors for Spasmodic Dysphonia The exact cause is not fully understood, but it is thought to involve a combination of genetic and environmental factors

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That's greater than 60% lower if men use it four to seven times a week, versus once