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Diet, microbiome and symptom context: Diet and microbiome factors can be relevant in selected patients, but they should be considered alongside clinical assessment rather than used as a replacement for evidence based IBD care

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It does not constitute dosing advice, clinical guidance, or a recommendation for human or veterinary application

Symptoms of pernicious anemia can vary, but common symptoms include: Depression and irritability Difficulty maintaining balance Fatigue and weakness Heart palpitations Loss of appetite Numbness or tingling in the hands and feet Pale skin Shortness of breath Weight loss Can I have pernicious anemia without having symptoms