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It seems like his voice has been affected too - it's higher pitched now. His weight loss also seems a little unhealthy.
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He underwent radiation treatments (starting last August) for a cancerous tumor in his salivary glands. This is the reason for his weight loss and voice change. Before that he had surgery for cancer in his thyroid and salivary glands. The thyroid cancer has apparently cleared up, but the salivary glands needed more treatment.