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This happens because: Inflammation makes the vocal cords swollen, affecting how they vibrate

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I guess somehow it relieves stress

Unbelievably, this scene was shot in one take

These include liver and colorectal cancer, diabetes mellitus, ectopic pregnancy, erectile dysfunction, age-related macular degeneration, orofacial clefts in newborns (as a result of maternal smoking), rheumatoid arthritis, and health problems such as inflammation and impaired immune functioning