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This intricate relationship between obesity and severity of endometriosis appears to be underpinned by molecular mechanisms that see excessive adiposity-induced adipocyte dysfunction as a trigger for inflammation, oxidative stress, and angiogenesis

Malabsorption (insufficient absorption of vitamin B12 in the intestine) due to insufficient production of intrinsic factor (a protein produced in the lining of the stomach that is needed to absorb vitamin B12), disorders in the end section of the ileum (part of the small intestine), such as sprue, fish tapeworm infestation or blind loop syndrome (change in the course of the intestine after gastric surgery)

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Shyam Allamaneni, Michael L Caparelli, Alexander Shikhman, Brianne Runyan, Scott Hobler

A., Carter, A., GBD 2015 Mortality and Causes of Death Collaborators, et al