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A definitive diagnosis of CD is sometimes established due to the identification of multinucleated giant cells in mucosal biopsy, especially in gingivae22

Other ENT-related hazards linked to smoking include: Smoking has been shown to decrease immune function, which is your body's defense mechanism against diseases

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Furthermore, we did not include daily cigarette consumption (i.e., smoking intensity) among current smokers into the study

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Other conditions that may cause your urine to smell like ammonia include: Kidney stones or kidney disease Menopause Liver disease Sexually transmitted infections like chlamydia Prostate infections Some vitamins and medications, including high doses of vitamin B6, can also cause a temporary strong urine odor