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6 However, the total economic impact of smoking in the United States has been estimated to exceed $200 billion in current dollars when considering direct costs (ie, inpatient care, outpatient visits, drugs, and diagnostic tests as well as transportation costs), indirect costs (ie, productivity loss, the cost of premature retirement, and morbidity costs), and intangible costs (difficult-to-monetize consequences as pain and suffering and emotional well-being) associated with smoking

While Hughes understood that it was old-fashioned, he said that the comments were not right

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Harvard Health Publishing, 2024) Risk factors that make them more likely - Chronic tonsil inflammation or frequent sore throats - Post-nasal drip (extra mucus can feed the cycle) - Dry mouth (from dehydration, mouth breathing, or some medications) - Smoking/vaping (may irritate tissues and affect oral/throat health) - Deep tonsil crypts or enlarged tonsils (Cleveland Clinic, 2024

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This results in temperatures that are too cold or too hot in the house