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He failed to acknowledge the strangulating impact gangs like his have on Haiti's economy.

“Its civilian institutions affect hundreds of thousands of Lebanese, mainly Shia. It’s a way of strangulating the community further.”

Consultations with doctors eventually brought a brutal diagnosis: spasmodic dysphonia, a neurological disorder in which the muscles in the larynx tighten or lapse into spasms, strangulating speech while making singing a significant challenge.

"The T cell attack seemed to incite oligodendrocytes to strangulate axons like a constrictor snake" Martini adds.

The autopsy report said the obstruction was “in the form of a strangulated small bowel caused by adhesions that developed after bariatric surgery years ago.”