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Besides, contrary to quantitative ODs that increase with age, experiencing phantom smells was found to be not affected by age [17, 18], or even to be more frequent in younger individuals [8, 16]

Furthermore, recent studies clearly show the harmful effects of WP smoking on human health, which include chronic bronchitis, emphysema, coronary artery disease, lung, gastric and esophageal cancers, and osteoporosis along with significant effects on embryogenesis 5,6

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The DSM-5 added a severity indicator based on the number of symptoms manifested by the individual and then measured on a continuum from mild to severe (SAMHSA, 2016)

US Department of Health and Human Services, Public Health Service

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