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Signs that might indicate a problem include: A lump in the neck Hoarseness or difficulty swallowing Shortness of breath Regular check-ups can help catch any early signs of complications

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In fact, acute or sub-chronic exposure to MDMA alone or in combination with other abused substances (e.g., alcohol, cocaine, cannabis) can damage several organs such as the heart, liver, kidney, and brain, potentially leading to death, as evidenced by multiple deaths related to MDMA abuse [47]