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According to Cleveland Clinic, common causes of phantosmia include: Common Causes Sinus infections or chronic sinusitis Nasal polyps Upper respiratory infections Allergies Dental problems COVID-19 infection (increasingly recognized as a trigger) Side effects of medications Head trauma or injury Less Common but Serious Causes Neurological disorders (such as Parkinson's or Alzheimer's disease) Stroke or transient ischemic attack (TIA) Brain tumors Epilepsy or seizure disorders Schizophrenia or other mental health conditions If phantom smells are persistent, worsening, or accompanied by other neurological symptoms such as facial twitching, vision changes, weakness, or confusion, seeking immediate medical evaluation is crucial

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As shown in this trial of evidence-based smoking cessation for individuals in substance use disorder treatment, only 10% were abstinent (i.e., for 7 or more consecutive days) at 6-months