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After six visits and a negative gastrointestinal workup, an astute resident finally asked about menstrual timing and referred her to gynecology, leading to an endometriosis diagnosis

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Appropriate supplementation of vitamin B12 and iron is important, along with establishing other etiologies for these not uncommon deficiencies based on the clinical scenario ( Although this patient had no digestive tract symptoms, such as abdominal distension and dyspepsia, the positive parietal cell and intrinsic factor antibodies, elevated gastrin, as well as pathological changes in the gastric mucosa indicated the presence of AIG, which may lead to impairment of vitamin B12 absorption, PA and other systemic lesions

C., Borel J