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This could be the result of a deficiency in intrinsic factor, which is a substance produced by the stomach and is required for the absorption of vitamin B12, or it could be the result of other factors, such as gastrointestinal disorders, vegetarian or vegan diets, or age-related changes

GutBrain Axis and Appetite Signaling : Studying how peripheral hormones influence CNS circuits involved in hunger, satiety, food choice, and reward-related feeding behavior

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This also could be a symptom of a variety of medical issues, so alerting your doctor is never a bad idea when bloated for long periods of time with no relief

extreme tiredness a lack of energy pins and needles a sore and red tongue mouth ulcers muscle weakness problems with your vision depression/ anxiety confusion/forgetfulness problems with memory, understanding and judgement What is a typical treatment