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A large population-based study in Germany evaluated 1277 individuals using the same Sniffin Sticks Screening 12 identification test and found the highest prevalence of hyposmia in smokers and a positive dose-response relationship between the daily consumption of cigarettes and hyposmia 2

American Journal of Epidemiology 158: 264271
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They may include feelings of sadness, irritability, low energy, difficulty concentrating, changes in appetite, and disrupted sleep patterns
