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Small intestinal bacterial overgrowth (SIBO) is one example where this can happen
You can learn more in our guide on how to check for a vitamin deficiency
eCollection 2019 Jul
[DOI] [PMC free article] [PubMed] [Google Scholar] 54.Labute P
That means a chief complaint for the separate E/M problem, a history of present illness specific to that problem, a physical examination relevant to it, and medical decision-making that produces a treatment plan
