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Bacteria overgrowing in the small intestine can migrate to the bile duct, causing inflammation and gallbladder and liver dysfunction

Tingting Tan, MD, PhD Medical Reviewer Tingting Tan, MD, PhD, is a medical oncologist at City of Hope National Medical Center

Neurological manifestations are particularly concerning and may include peripheral neuropathy with paresthesias (tingling and numbness in hands and feet), ataxia, impaired proprioception and vibratory sense, cognitive impairment, memory loss, and in severe cases, subacute combined degeneration of the spinal cord

Australian telehealth programs have shown strong engagement and accessibility outcomes, particularly for patients in regional areas