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They can include: Upper respiratory infections, such as colds Viruses such as the flu or COVID Head injuries Sinus infections Certain toxins, including pollution and smoking Some drugs, including cancer treatments, certain antidepressants, and benzodiazepines Seizures in a part of the brain called the temporal lobe Constant dry mouth Brain tumors, though this is rare How Is Parosmia Linked to COVID

Another consideration is the potential for residual confounding factors, such as the presence of indoor fireplaces or environmental pollutants unrelated to tobacco, which may influence health outcomes and complicate the attribution of effects solely to SHS

Since you cannot refill it, please dispose of the device responsibly and start a new one