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These antibodies to intrinsic factor can be detected several years before the onset of symptoms of pernicious anemia.[ref] What triggers autoimmune gastritis

Here's how to manage it: Keep meals smaller (reduce volume in stomach) Avoid eating within 2-3 hours of bedtime Moderate coffee and alcohol (both can trigger reflux) Elevate your head while sleeping if nighttime reflux occurs Identify and avoid your personal trigger foods Dealing with Loss of Appetite This might sound like a "good problem," but inadequate nutrition undermines your health

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Appetite suppression reduces total food intake, but protein is often disproportionately affected because high-protein foods tend to be more filling