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Music oral mucositis is is well recognized now as one of the complications or the side effects of some of the cancer treatments we use in the myeloma setting and it can be quite mild so patients sometimes talk about a bit of discomfort or some case changes in the mouth but in some cases for example in the transplant setting it can become quite severe and at that stage people talk about sometimes difficulty talking and they talk about quite severe pean so of a mild to severe Music the actual effect on the person is the person may talk about these changes that they've noticed they sometimes talk about their mouth feeling a little bit different they sometimes notice that the saliva is a little bit those either side less or there's more of it sometimes they talk about peon and and discomfort sometimes in a as it becomes increasingly a problem people talk about finding it difficult to speak maybe find it increasingly hard to swallow sometimes people talk about the mouth been a little bit sw

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