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Similarly, Inflammatory Bowel Disease (IBD) can lead to reduced capability to absorb nutrients

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The influence on the gut is not unidirectional, as the gut also sends information to these various systems through complex pathways that function as bidirectional conduits for homeostasis, and alterations in this communication are associated with disease

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[DOI] [PubMed] [Google Scholar] 13

Often, you'll have the neurological or psychological symptoms before the anemia (low red blood cell count) is present
