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Scientists dont know exactly why it occurs in some people and not others, but it seems to involve a combination of factors, including: Advertisement The primary culprits include: You may be more at risk of developing IM if you have a history of: These additional risk factors increase your likelihood of developing intestinal metaplasia: IM doesnt cause symptoms on its own

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After this period, its effectiveness may begin to decline

They play different roles in our bodies

this combined form is investigational and not FDA-approved