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Heightened sense of smell. Hello. My wife has a condition called hyperosmia, which, as I'm sure you know, is an elevated sense of smell. Not only does she smell odors that no one else even notices, the odors are always nauseating to her.
Altered sense of smell; strange smell in nose. The depression associated with high serotonin is of a different variety from the classical depression, which is most familiar. The typical symptoms of anxiety, low mood, pessimism, sadness, emotional instability, etc. are missing. For that reason it often overlooked, and nothing is done about it.