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The following medical conditions can cause changes in the odor of urine, or an altered sense of smell: nasal congestion a burnt tongue or mouthinflammation or infection of the bladder or urinary tract can cause urine to smell strong or foul metabolic and liver disorders are associated with musty-smelling urine kidney failure and disease are associated with dark, stronger-smelling urine uncontrolled or untreated type 2 diabetes is associated with sweet-smelling or pungent urine maple syrup urine disease causes urine to smell very sweet, similar to burnt caramel bladder fistulas are associated with urine that smells like feces or gas Women often report that their urine smells differently at various stages of pregnancy

(Eventually, the program would go back to its Marlboro Man roots, and offer things like BBQ tools and cowboy cookbooks, rebranding as the Marlboro Country Store.) Although there were other smoking continuity programs like Camel Cash, Marlboro Miles was by far the most successful, distributing over 14 million items its first year, a number that would reach 135 million by September 2006, which is when new government regulations that forbid campaigns incentivizing smoking went into effect