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Diet is a factor here (with meat once again being the best source)

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CIPO is a severe clinical condition that mimics a mechanical bowel obstruction without a physical blockage and stems from defects in enteric neurons, smooth muscle, and/or autonomic innervation of the bowel [20]

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These will check your B12 levels and overall health, helping to guide personalised treatment

doi: 10.1074/jbc.M604123200 [DOI] [PubMed] [Google Scholar] [297].Amiri E, Sheikholeslami-Vatani D