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Left untreated, a hiatal hernia can cause significant long-term problems, including changes to the esophagus or stomach, and in rare cases, complications like stomach twisting or loss of blood supply. Traditionally, hiatal hernia surgery was invasive, with the introduction of laparoscopic techniques in the 1990s making the procedure less taxing

Symptoms associated with folate and B12 deficiency include: depression, agitation, sleep impairment, and lack of motivation (4)