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Without intrinsic factor, people develop vitamin B12 deficiency, with symptoms such as fatigue, a distinctive change in red blood cells, nausea, indigestion and other digestive problems, weakness, headaches and weight loss

A recent review examining the impact of endometriosis and adenomyosis on pregnancy outcomes suggested that adenomyosis is a significant confounder of pregnancy outcomes and that the impact on the same adverse obstetric outcome may be greater for adenomyosis than for endometriosis [22]

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