Loud horns would be best. They will be pointing the right direction and are quicker to sound than a twist of the throttle. Horns are a temporary noise for your safety whereas loud pipes are always there to annoy the folks who aren't out to get you.
Noise fatigue is always a factor. It does affect you and may slow your reactions when most needed. Also try to make yourself more visible to distracted drivers. Recent studies have determined distracted drivers on phones or texting are more dangerous than drunk drivers.
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