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According to the Surgeon Generals report on the effects of smoking on reproductive health, smoking can damage the genetic material in eggs and sperm, which can lead to higher rates of miscarriage, ectopic pregnancy, preterm labor, and birth defects

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These include: Persistent sore throat lasting more than a few weeks Difficulty swallowing Unexplained voice changes Severe or worsening pain A healthcare professional can assess the underlying cause and recommend appropriate care