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Perimenopause and hormonal decline are among the most common and least recognized drivers of new-onset GI symptoms in women over 35 bloating, IBS-like symptoms, and increased gut reactivity often emerge alongside hormonal shifts
B12 levels can fluctuate, and symptoms may appear before levels fall outside the standard range
Async patient communication via a HIPAA-compliant channel Any digital channel that touches patient PHI requires HIPAA-compliant communication
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