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Because that stuff will just rip the vocal cords. As the Cleveland Clinic explains, acid reflux when stomach acid rises in the throat can irritate the voice

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It results from a localized accumulation of melanin in the basal epithelial cells, without an increase in the number of melanocytes themselves

A medication compounded under 503A regulations receives substantially less federal scrutiny than one produced by a 503B facility, which in turn receives less scrutiny than an FDA-approved pharmaceutical product