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The AAD recommends that people seek medical help if they have other health conditions, such as cancer or HIV, or take medications that suppress the immune system

The most common causes include: Inadequate tooth brushing and flossing Gum disease and tooth decay Dry mouth (reduced saliva flow) Strong-smelling foods such as onions and garlic Smoking and tobacco use Sinus infections and certain systemic diseases When bad breath becomes persistent, it is important not only to mask the odor but also to identify and address the underlying cause

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Counseling and behavioral therapies are also important components of nicotine addiction management