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Premature puberty Pregnancy or suspicion of pregnancy Breast feeding Blood clotting disorders (HCG can potentially increase the risk of blood clots, which can be dangerous in these patients)

11 , e2406333 (2024)

66 Importantly, investigation of pathologic cAUses of polycythemia, including obstructive sleep apnea, tobacco use, and myeloproliferative neoplasms, should be conducted

Common Symptoms of SIBO SIBO can present with a wide range of nonspecific symptoms, many of which overlap with other GI conditions

8 9 The consequences of mild or subclinical vitamin B 12 deficiency are less clear but it has been shown to be associated with decreased cognitive performance in both the elderly and children
