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Tampa, Florida --Fall may mean cooler temperatures and picture perfect landscapes, but the change in seasons can wreak havoc for allergy sufferers.

If you're one of the 40 million Americans who are sneezing, coughing or itching, there are some cities considered the most challenging for allergy sufferers that you may want to avoid.

Louisville, Kentucky, is considered the fall allergy capital of the country according to the Asthma and Allergy Foundation. It's considered worse than average with high pollen and many medicated sufferers.

Three Bay area cities make the top 100 cities considered the worst for allergies: Lakeland came in at number 68, Tampa is 73, and Sarasota ranked 92nd.

Also making the list: Jacksonville at number 59, Miami ranked 60th, Cape Coral at 62, Palm Bay at 84, and Daytona Beach came in at 97.

For those who can tell the seasons changed without even looking at the calendar, seasonal allergy sufferers can have different symptoms:

  • itchy eyes
  • a stuffy nose
  • sore throat
  • cough
    fatigue

Allergist Dr. Eugene Hurwitz says allergies in the autumn are attributable to one main culprit: ragweed blooming! But just because you're an adult without allergies, doesn't mean that you're in the clear.

"If you've never had allergies before, it's still possible that you could develop them. It's more common among people who have a family history of allergies," Dr. Hurwitz said.

While nasal sprays and over-the-counter products may be effective for some, others may need to go on allergy shots or even a combination of therapies.

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