But, scientifically speaking, why would a diet high in fat and very low in carbs change the scent of your vagina? Yes. According to Smith, the odor can begin as early as 15 minutes after ingestion and last up to 14 hours. But the exact compound or how many are causing it is still unknown. It causes strong or sweet urine. Thank you", This! Asparagus is a delicious green vegetable that comes with one very noticeable side effectit makes your pee smell foul. When your ketone levels are elevated, youre considered to be in ketosis. If your toilet bowl smells like a fish market gone bad, it could be trimethylaminuria (try saying that three times fast, or just one time, slow). If youre holding on to it, you will get extra pungent urine.. If the Wine and Cheeseburger: Harley and Lara Pair Falafel with Wine. 2005-2023 Healthline Media a Red Ventures Company. Well-known side effects can include weakness and fatigue (15). The 6 Biggest Keto Diet Mistakes Yet, science does show that going keto can change the odor of your breath and urine, making both smell like nail polish remover. Regardless of whether you prefer the green, purple or white variety, asparagus provides a rich source of vitamins and minerals, and its consumption as part of a healthy diet may reduce risk of cancer and cardiovascular-related diseases. Ketones are chemical byproducts that provide a new fuel source for your cells. Maxine Yeung is a registered dietitian and personal trainer. I now dread coming in. The Ketogenic Diet is a low carbohydrate method of eating. Samantha Lauriello is a social media strategist and editor. Wearing breathable fabrics can also help prevent unwanted moisture and scents from building up. Bacterial infections like chlamydia can be cured with antibiotics. This rare, life-threatening genetic condition prevents the body from breaking down some amino acids. There are 3 types of tyrosinemia, which cause problems breaking down theamino acid tyrosine. They work by forcing your body to burn fat for fuel instead of relying on glucose from carbs for energy. They can also make infections more likely. I have to think happy thoughts during squats," another woman posted on Reddit. Most importantly, dont make the mistake of eating a diet that lacks diversity. The initial switch to a keto diet can be one of the biggest issues for new dieters. Here are the 6 best sweeteners for a keto diet. Asparagus might be the most common reason for stinky pee. Since you will be taking in more protein when you are following a keto diet, this can increase the amount of ammonia in your pee. Its not dangerous at all. We recommend our users to update the browser. The short-term side effects of a keto diet are better known. The quick evaporation of those asparagus metabolites when peeing causes your urine to have a sulfurous odor, like rotten eggs or cooked cabbage. The vegetable is still healthy and a good part of your diet, says Dr. Brant. Your pee smells funny (think old and smelly) when you frequently hold it in throughout the day. If you notice a new or strange scent, talk to your doctor. What To Know About Pilates And Weight Loss, Your Privacy Choices: Opt Out of Sale/Targeted Ads. As discussed above, removing carbs can lead to general tiredness at first. What supplements should we really be taking? "Too much coffee will make your urine concentrated, and hence will impart a foul odor to your urine," internist Dr. Aditi Gupta, head of the doctor's panel at JustDoc, says. This is a detailed beginner's guide to the paleo diet. Bad breath is actually a common side effect of reaching full ketosis. When you pee, the sulfur byproducts evaporate almost immediately, causing you to Thus, they dont produce smelly urine, says Smith. Mayo Clinic: Hyperglycemia in diabetes, Strong-smelling Urine Not Necessarily Cause for Concern., American Family Physician: Urinalysis: A Comprehensive Review., American Diabetes Association: DKA (Ketoacidosis) & Ketones., Nutrition & Metabolism: Branched-chain amino acids in health and disease: metabolism, alterations in blood plasma, and as supplements., National Organization for Rare Disorders: Maple Syrup Urine Disease, Tyrosinemia Type 1, Trimethylaminuria., MIT Medical: Ask Lucy: Could it B-vitamins?, Harvard Health Publishing: Urine color and odor changes., Frontiers in Psychology: Pregnancy and olfaction: a review., British Journal of General Practice: A nose for trouble., Urology Care Foundation: What is a Bladder Fistula?. It has a strong odor that smells like urine or sweat. But unfortunately, no research exists showing that diet alone can alter vaginal pH. More bacteria get released into your urine during a UTI, causing a distinguished rank odor that he describes as a "pungent rotten-egg smell, often fishy-like." The main downside of this test method is that it requires pricking your finger to draw blood. The digestion of asparagus produces methanethiol and S-methyl thioesters, chemical compounds containing stinky sulfur, also known as brimstone. Sometimes your pee smells funny when you take certain kinds of multivitamins. I'm eating leafy greens. The keto flu, or carb flu, is used to describe symptoms often experienced by those beginning a keto diet. The Ayurvedic diet is based on the principles of Ayurvedic medicine and focuses on balancing different types of energy within your body. Onions make you cry, and they also make your urine stinky. Asparagus contains sulfur-like compounds. Two hypotheses exist. There are hills to die on, and this ain't one of 'em. To make one thing super-clear first, there's no research confirming that keto crotch is, in fact, a legit side effect of the keto diet. Its just the nature of an unsterile urine specimen. He suggests dropping an aspirin in the bag because salicylic acid neutralizes and banishes the bad smell. People often report brain fog, tiredness, and feeling sick when starting a very low carb diet. Its primarily caused by the reduction in your muscles glycogen stores. The human nose has about 10 million olfactory receptors that determine how you perceive smells. If things just smell off, go see a doctor ASAP to make sure everything's OK. Pissing sugar may sound like an amusing Southern expression, but it could be a sign of diabetes. Hepatic steatosis (aka fatty liver, which is a buildup of fat in the liver), Hypoproteinemia (deficient levels of protein in the blood). That said, if youre losing weight, enjoying your keto diet, and feeling healthier, there is no need to worry about your ketone levels. You dont need to say anything about being under medical care. It turns out there are lots of things that affect the smell of your pee. More research still needs to be done on metabolism and genetics to determine exact causes of these differences. Thomas Mayo, a physician in the 1670s, described the taste of diabetic urine as wonderfully sweet as if it were imbued with honey or sugar. If you have uncontrolled diabetes, your body tries to get rid of extra blood sugar or glucose in the urine, creating the sweet smell, she says. However, send an email with your understanding of the situation. And while asparagus itself doesnt have an odor, when it is digested, the sulfur bonds -- between the amino acids in This chemical on its own smells like rotten eggs, rotting fish, or garbage. If they are really that stupid to go that far, you'll at least have them dead to rights if you do decide to get an attorney. Now, people are talking about another unpleasant side effect of the keto diet: keto crotch. When your body isnt getting the glucose it needs for energy, your body begins to burn fat for energy, which produces ketones. Your genes affect whether you can PKU, short for phenylketonuria, is another inherited disorder where the body can't break down phenylalanine, an amino acid found in protein. The ketones themselves may also affect your brain, helping to reduce appetite (12) (13). A lot of people report insomnia or waking up at night when they first reduce their carbs drastically. 1996-2021 MedicineNet, Inc. All rights reserved. Keto crotch sounds similar to the keto breath phenomenon. Ever settle into the restroom to do your business and, amid the calming sound of your yellow stream, notice an awful smell? And just because you dont smell it doesnt mean youre not making it. Urine is mostly waste products and water and normally has a mild smell and a light yellow color. There are some common foods and medications that can change the odor of urine. Many creatures rely on their sense of smell to survive. Like any other body part, your vagina needs to be kept clean. Asparagus might be the most common reason for stinky pee. When followed correctly, this low carb, high fat diet will raise your blood levels of ketones. As Benjamin Franklin wrote in 1781, A few stems of asparagus eaten, shall give our urine a disagreable odour.. "Breaking the seal" isn't a thing, but drinking alcohol definitely makes you have to pee more. WebNo one really pays that much attention during a quick bathroom break. Heres how much water you really need to drink to stay hydrated. "It's never normal for your vagina to have an odor," said Dr. Streicher. Garlic, onions and brussels sprouts, for example, all break down into sulfur compounds when digested. Your food, vitamins, and medications are the most common cause of a badurine smell. Washing inside of it could upset the balance of good and bad bacteria. Health posed that question to an OB-GYN, who said keto crotch has never been scientifically investigated. A study using data from almost 30,000 users of 23andMe found genetic variants in olfactory receptors linked to peoples perception of this adverse taste. It just absolutely shifted my whole mood for my job. Along with many other delights, springtime brings the beginning of the asparagus growing season. Asparagusic acid is only found in asparagus, though Smith says there are plenty of other foods that can change the smell of your urine. It goes from being mild and lovely to being forceful and pretty terrible. The rest are unaware of the smell. These foods also produce methyl mercaptan, a gas that has a rotten cabbage odor and is released when peeing and breathing. Once it gets there, it stays there. Fruity-smelling urine can be a sign of other diseases and complications. While theres always waste in your urine, like ammonia, the smell is stronger if youre dehydrated. Some STIs can lead to a smelly discharge in males and females. If your baby has the disease, you may notice this syrupy odor a day or two after theyre born. Fluids help water down, or dilute, your pee. So why do only some people seem to experience this strong odor after eating asparagus? A lower proportion of women were able to detect the odor, compared to men, despite women being thought to have a more keen sense of smell. Keto (low-to-no carb, high-fat, protein-heavy diets) are all the rage for weight loss. Keto flu, keto breath, keto diarrheait's no secret the keto diet comes with side effects. Employer: "OP please contact your doctor to provide us with a doctor's note so we can properly file this. Drinkinglots of water throughout the day can help with these smells and keep your urine clear. Brushing your teeth several times per day or using sugar-free gum can resolve the issue. But that doesn't mean people aren't still experiencing some less-than-pleasant odors down there on the keto diet. Lycra or spandex is not very breathable, so it's better to go for cotton instead. Many people on keto and similar diets, like the Atkins diet, report that their breath takes on an unusual, fruity smell. Unfortunately no, according to Smith. WebMD does not provide medical advice, diagnosis or treatment. Theyre commonly used to treat UTIs and other infections. While some people believe this to be fat loss, its primarily water weight (2). If you get one between your bladder and bowels, poop or gas may come out when you pee. It's true that if your vaginal pH is thrown off, you're at a higher risk for developing bacterial vaginosis (an overgrowth of bacteria in the vagina), which can have a funky odor, said Dr. Streicher. Most everyone knows about asparagus pee, but there are some other foods and medications that can also change the odor of the urine. The smell of rotting fish is hard to ignore, and should especially be a red flag if you notice it in your pee. If you want a more accurate assessment, monitor ketone levels in your blood, urine, or breath every week. Some babies are born with a condition called tyrosinemia type 1. Your genes affect whether you can smell these sulfur byproducts. Fruits and vegetables can help hydrate you, too. An also take some bathroom spray with you/ spray before you go- it creates a film that traps odors. The disease can cause other serious symptoms like seizures, sleepiness, irritability, and poor feeding. I'm five weeks on keto and I work in a leasing office. When you enter a state of ketosis, usually by purposely forgoing almost all carbs and going on a keto diet, your body releases ketones as it burns fat for fuel. They can tell you if its normal. The most common ones that can be experienced for up to two years after following the keto diet, according to the National Library of Medicine (NLM), include: These short-term symptoms usually go away within a few days or weeks. Vanillin, the primary chemical present in vanilla, is difficult to identify in two or three people out of a hundred. Extra vitamin B6 (pyridoxine) can give it a strong odor. MedicineNet does not provide medical advice, diagnosis or treatment. Strong, ammonia-like urine is a sign that youre alittle dehydrated. "Of course, having diabetes increases the chances of spilling glucose into the urine if blood glucose levels are too high." The ketone acetone is partly expelled via your breath. Asparagus pee is something that cannot be controlled by anyone. Some foods and medications, such as asparagus or certain vitamins, can cause a noticeable urine odor, even in low concentrations. Like Brussels sprouts, methyl mercaptan occurs naturally in the vegetable. People should strive to have urine thats a light yellow colour, says William Brant, MD, a urologist at the University of Utah Health Care in Salt Lake City, UT. Or your genitals may itch, and it might burn when you pee. For this reason, most people will just perform one test per week or every other week. Your body needs water to dilute waste products in your urine. Sign up here for Yahoo Lifes newsletter. Foods That Aren't as Healthy as You Think. Eliminating carbs can also help control and stabilize blood sugar levels. Yes, there's actually a disease for your pee named after the sweet breakfast condiment. It means they dont have the right enzyme to break down the amino acid tyrosine. Just like how going super low-carb makes your breath reek, it can do the same to your pee. According to Dr. Dutta, You can lessen these symptoms by drinking plenty of fluids and getting enough electrolytes. Of course, its entirely possible that other things you do around the time you start the keto diet could lead to a rash in the groin area, like working out more and hanging out in your sweaty gym clothes for too long. This is dangerous and can lead to diabetic ketoacidosis, the American Diabetes Association warns. The smell is present; you just can't detect it. Theres no need to erase your vaginas natural odor. Her areas of expertise include fibroids, irregular vaginal bleeding, abnormal pap smears, infertility and menopause. It doesnt mean youre unhealthy. Asparagus isnt the only food that has genetically linked controversial smell or taste effects. The study Our website services, content, and products are for informational purposes only. Learn these things your poop can teach about your health. Renita White, MD, is an obstetrician/gynecologist at Georgia Obstetrics and Gynecology in Atlanta, Georgia. When they follow up verbally--it will be verbal response--reply all on the same email chain and thank them for stopping by to confirm XYZ. Some people are hypersensitive (or hyposensitive) to androstenone, a component of sweat. How To Prevent an Unpleasant Vaginal Odor, Keto Breath Is a Common Problem for Low-carb Dieters, Why Does Sex Have a Smell? While youre in there, you might get a whiff of something that doesnt smell good. After the initial rapid drop in water weight, you should continue to lose body fat consistently as long as you stick to the diet and remain in a calorie deficit. You know eating asparagus makes your pee smell weird. That includes sulfonamide antibiotics. The specific culprit is acetone, a ketone that exits the body in your urine and breath (3). Keto diets, along with other low carb diets, are highly effective for The release of ketones might also result in keto crotch, but it's never been researched. Discover signs and symptoms of ketosis, like changes to your breath, appetite, or energy levels. This will pass once your body becomes adapted to running on fat and ketones. All rights reserved. This usually improves after a few weeks. Sign up here for our daily Thrillist email, and get your fix of the best in food/drink/fun. You may need to get the stones taken out at a hospital. Affected by Urinary Infection. Not everybody, Louis. The stinky pee smell might not be related to your keto diet at all. Pregnancy also raises your chances of urinary tract infections and ketonuria. 2005 - 2023 WebMD LLC. 8 Things That Can Cause Odor, 5 Things That Can Change the Way Your Vagina Smells, Assessing Vaginal Health: 5 Clues From Your Vagina, Keto Flu Explained: Why Low-Carb Diets Can Make You Feel Sick and Tired, How to Start the Keto Dietand Ways to Stick With It. He says that one cannot prevent the breakdown of asparagusic acid if they have the enzymes present in their body.. If you follow keto and start noticing that your vagina smells bad, consider checking in with your OB-GYN. The sweet smell is from ketonuria, or a buildup of ketones. Experts think hormones may change your perception of smells. They can be a quick and cheap method to assess your ketone levels each day. Tough Journeys: When Cancer Strikes People Living With Dementia, Sea Spray Can Waft Polluted Coastal Water Inland, Cats, Dogs 'Part of the Family' for Most American Pet Owners: Poll, Dozens of Medical Groups Launch Effort to Battle Health Misinformation. As you progress into a keto diet, youll start to burn fat and ketones as your main fuel sources. It can also cause stomach pain, throwing up, and feeling sick. And if you're noticing you have to pee much more frequently, that could be another sign of diabetes. In this condition, your body cant break down acompound called trimethylamine. These products may raise your blood sugar levels and reduce your ketone levels. B vitamins are water soluble, which means your body doesnt store them, and whatever you dont need is removed in your urine. So keto rash is a real thing. Atkins Vs. When in ketosis, your body converts the fatty acids into chemicals called ketones. Changes in diet can lead to potential changes in vaginal health, which could mean more rashes, says Dr. Shepherd. With WW And Walking, How To Lose Weight Fast Safely And Naturally. One big issue for many keto dieters is sleep, especially when they first change their diet (14). Asparagus pee is not the only aroma that causes anosmia in some people. A keto diet induces ketosis which is a metabolic state where your body uses fat for energy, says Dr. Kielb.During this state, your urine and breath may both have an odour. This high-fat, low-carb eating plan has its fansand detractors. You could have a serious condition called diabetic ketoacidosis. In fact, a study my colleagues and I conducted in 2017 found that only 40 percent of those surveyed reported detecting the odor in their urine. If its dark yellow or an amber colour, theyre probably not drinking enough water.. That's because your body breaks down fat for energy instead of carbs. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. It affects babies and children. Many people report decreased hunger while following a keto diet. Watch out for these clear signs youre not eating enough vegetables. If there is such a thing, that is. Tyrosinemia is treated with medicine and a low-tyrosine diet. As you might expect, this switch doesnt happen overnight. You may end up having the keto flu, which is basically a bunch of flu-like symptoms that often appear at the beginning of the keto diet. Health issues linked to douching include yeast infections, bacterial vaginosis, and pelvic inflammatory disease. From vegan to keto, which diet has the highest carbon footprint. There's actually a scientific explanation, though; asparagus has asparagusic acid, which is responsible for Other foods, including Brussels sprouts, onions, cabbage, and turnips can also make your pee smell funky because of a metabolic byproduct called methyl mercaptan, a gas with a putrid, sulfurous smell that emerges when your body breaks down these vegetables. With Walk At Home And MIRROR', This Mom Lost 95 Lbs. But, it's important not to overdo it by washing excessively or using scented products like perfumes, powders, and deodorant sprays. What is the link between genetics and asparagus pee? A problem with your liver can make yourskin and eyes yellow and your urine dark and smelly. It may smell like cabbage. After several decades of running on a carb-heavy fuel system, your body is forced to adapt to a different system. Vitamins dissolve either in fat or water before they are absorbed by your body. You might also feel sick, have pain that comes and goes, and have bloody urine. "Anecdotally, there have been a lot of reports over the years that diet can influence vaginal odor, but it's never been studied.". Does Garlic Actually Treat Yeast Infections? Despite the nutritional benefits of asparagus, many are opposed to eating the vegetable due to its pungent aftereffects. However, its been suggested that this hunger reduction may be due to alterations to your bodys hunger hormones, along with an increased intake of proteins (11, 12). Do Not Sell or Share My Personal Information. However, theyre not as accurate as a blood monitor. (Also, definitely don't douche. These infections are commonly found in hospital or nursing home patients because the bacteria that causes it (and also gives your pee a metallic scent) thrives in those environments. Dr. Ellerkmann has described it as smelling like maple syrup, burned sugar, or malt. And then theres keto diarrhea, which is about as fun as it sounds. .css-26w0xw{display:block;font-family:NationalBold,Helvetica,Arial,Sans-serif;font-weight:bold;margin-bottom:0;margin-top:0;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-26w0xw:hover{color:link-hover;}}@media(max-width: 48rem){.css-26w0xw{font-size:1.18581rem;line-height:1.2;margin-bottom:0.625rem;}}@media(min-width: 40.625rem){.css-26w0xw{line-height:1.2;}}@media(min-width: 48rem){.css-26w0xw{font-size:1.28598rem;line-height:1.2;margin-bottom:0rem;}}@media(min-width: 64rem){.css-26w0xw{font-size:1.575rem;line-height:1.1;margin-bottom:-0.5rem;}}What To Know About Pilates And Weight Loss, 29 Vegetarian Keto Recipes That Are *So* Delish, 18 Keto Smoothies That Legit Taste Like Milkshakes, Easy Keto Side Dishes For Every Taste Bud. Theyre responsible for most of the unique health benefits of the keto diet. It's best to avoid scented antibacterial soaps, which can affect the balance of natural bacteria in your vagina. This content is imported from poll. The measurement of breath acetones has been used since the 1960s to judge the level of ketosis that occurs in the body, according to a November 2015 article published in Obesity. Thats because bacteria can build up in your urine and make it stink. Make sure you get some assistance.. They might want to make sure nothing else is causing the odor. The rest are unaware of the smell. Dr. Comiter refers to this condition as teachers bladder or truckers bladder because those are the people who tend to hold it in a lot since they dont have as much time in the day to go to the bathroom due to their hectic schedules. Want lifestyle and wellness news delivered to your inbox? They have even been tested in a medical setting to treat brain diseases and conditions such as concussion and memory loss (16, 17, 18, 19). Whats the Ideal Ketosis Level for Weight Loss? Its part of the flora bacterial environment.. Many long-term keto dieters claim that they sleep better than before after adapting to the diet (25). Your body gets rid of nutrients you dont need through peeing. Come along for the ride! Maple syrup urine disease is an inherited condition in which the body can't break down certain amino acids properly, and creates a sweet smell in the urine. The more fat your body burns in ketosis, the more ketones, like acetone, your body produces as byproducts. If youre female, it may happen after you give birth or have a certain kind of operation. If you have more waste than water inyour urine, it can smell more strongly. The use of acetone breath analyzers has been shown to be fairly accurate, though less accurate than the blood monitor method (10). This is when you begin to reap the benefits of a keto diet. 7 Ways To Keep Your Vagina Healthy As You Age. And consider speaking to a doctor or nutritionist you trust about whether keto is a good fit for your health and lifestyleand definitely chat them up about any questionable symptoms you experience if and when you do. Whats more, there are further benefits primarily an increased ability to burn more fat during exercise. This includes a reduction in insulin levels and the increased breakdown of fat (1, 2). In addition to having an unfamiliar smell down there, some women are also reporting that theyve noticed a rash in their crotch area on the keto diet (fun!). Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. When you start a low carb diet, your body must adapt to burning more fat for fuel instead of carbs. Skip the medical care point. Here are 12 fast foods you can eat on a low carb diet. Staying in the metabolic state of ketosis on a low carb keto diet requires reducing sugar consumption. Bad bacteria that snuck its way into your bladder through your urethra often causes these strange odorous smells. Ketones are an extremely potent fuel source for your brain. Your pee or breath may smell fruity if you dont treat high blood sugar. Dont miss the 13 sexual health tips your urologist wants you to know. A 2016 study found that whether or not someone could smell asparagus pee is associated with a genetic variation near multiple olfactory receptor genes. It's pretty rare, and since it's genetic you'll see it in infants and other young kids. OtherUTI symptoms include: Liver disease. It has been reported 62 percent of women were unable to smell the odor, whereas 58 percent of men reported being unable to smell the odor. If you have this condition, your urine might just smell like regular ol' pee (to you, at least) even if your urine contains post-asparagus sulfuric compounds. Fast weight loss can occur during the first week. Tyrosinemia. Yes, volunteers sniffed samples of other peoples asparagus pee. However, this usually improves in a matter of weeks. Also, make sure to eat plenty of healthy low carb veggies, which still contain plenty of fiber. Keto diets, along with other low carb diets, are highly effective for weight loss (4, 5). WebWhat does ammonia smell like? This is the method is used in most research studies (7). Water-soluble vitamins are excreted into your urine, Dr. Kielb says. If you're on the keto diet and develop a rash, dont just blame it on the diet, she says. Experts say the Mediterranean, DASH, and flexitarian diets have the best foundations and are among the easiest to follow. The other hypothesis is that everyone produces the odor, but they may not actually smell anything. When these build up in your blood, a compound called abranched-chain alpha-keto acid shows up in your urine and makes it, along with your earwax, smell like maple syrup. The NLM reports these symptoms: Some experts have theorized that the keto diet changes vaginal pH (the balance of bacteria in your vagina), which can alter your vaginal scent. Your pee may also have a strong smell after you drink coffee, or eat fish, onions, or garlic. If asparagus is on the menu, it may rear its ugly smell as early as a mid-meal bathroom break. The Paleo Diet A Beginner's Guide Plus Meal Plan, What Is the Ayurvedic Diet? Vegetables are good for your body, but dont be alarmed if they make your urine smell like rotten cabbage. What is the role of sex in smelling asparagus pee? If this sounds horrible, it is. The Keto Diet: What's The Difference? In certain types of ultra-endurance sports and events, a keto diet could even be beneficial (22). There are rare conditions that create a rotten smell, too. People who use catheters and urine drainage bags may complain of a stinky urine odour in their bags. It was like a light switched one day I couldnt smell it, next time I ate asparagus the strong smell was there. These chemicals just happen to be things that we react to. Try drinking more water to mute the smell of your urine. The culprit of that asparagus pee smell is a particular sulfur compound found only in that vegetable. If your urine smells sweet, you feel unwell, or you have other symptoms along with foul-smelling urine, though, talk to your doctor. or you can pee at home because your piss reeks. And prenatal vitamins might change the way your pee smells. Medicines for diabetes and rheumatoid arthritis also can affect the way your pee smells.
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