You Cannot Smell Your Own House

You came back from a week away and your house smelled of nothing. Other people's houses still have a smell. Yours stopped having one.

The perfume you have worn for twenty years does nothing until you have put on far too much of it.

Food has gone flat, so you have been reaching for more salt, more chilli, more sugar, without really deciding to.

And last month you poured milk into coffee that someone else immediately said was off.

You have not become careless about your house or indifferent to food. The signal has thinned, and there is a specific reason for it.

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These Neurons Are Supposed To Be Replaced

Olfactory receptor neurons are unusual. They sit exposed at the top of your nasal cavity, in contact with the outside world, and they are among the few neurons in your body that are continuously replaced throughout life.

That replacement depends on a population of stem cells in the olfactory epithelium working steadily, year after year.

Estrogen receptors are present in that tissue, and estrogen is involved in neurogenesis and in protecting neurons.

So this is not a system that simply wears out. It is a system that depends on constant renewal, running with less of the hormonal support it had.

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Three Point Five Versus Six Point Two

Lee and colleagues analyzed data from 3,863 women in the Korean national health survey and published in Scientific Reports in 2019.

Reported olfactory dysfunction was 3.5 percent in premenopausal women and 6.2 percent in postmenopausal women.

And the earlier a woman's menopause, the more likely she was to report a problem with her sense of smell. Longer estrogen deprivation, more dysfunction.

Why Food Went Flat

Your tongue does five things. Sweet, salt, sour, bitter, umami. That is the whole repertoire.

Everything else you think of as taste is smell, arriving at your olfactory receptors from the back of your mouth while you chew.

So when food goes flat, the problem is almost never your tongue. It is that most of the flavour was being delivered by a sense that has quietly lost resolution.

Which is why you have been adding salt. You have been trying to fix a smell problem with the only dial you have left.

Train It, Twice A Day

Do this, because it is the intervention with actual evidence behind it and nobody mentions it.

Four strong, distinct smells. Rose, lemon, eucalyptus, clove is the classic set. Essential oils on cotton pads in four small jars.

Twenty seconds each, short sniffs, concentrating on the memory of what that thing smells like. Twice a day, morning and night.

Give it twelve weeks minimum. It is dull and it works by driving the turnover of exactly the neurons we have been discussing.

You have lost a safety system and you need to replace it with hardware.

Test your smoke alarms this week and check their expiry date. Fit a carbon monoxide alarm if you do not have one, because the classic early warning for a gas leak is a smell you may no longer reliably detect.

Date-label leftovers instead of sniffing them. Four days, bin it, no negotiation.

And bring back eating pleasure through the channels still working. Acid and texture and temperature. Lemon, vinegar, crunch, something hot, something cold. Chilli works through a different nerve entirely and is still fully available to you.

One thing that is not this. A sudden loss, a loss on one side only, or a loss alongside nosebleeds or persistent headache needs assessing now rather than training.

You did not lose interest. You stopped receiving the information.

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