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[3] described three dominant hypotheses of HH, which are as follows: (1) increased intra-abdominal pressure that moves the gastroesophageal junction into the thorax cavity, (2) esophageal shortening from innate causes or acquired caused by fibrosis, and (3) widening of the orifice from innate or acquired changes in the crural muscles or connective tissue of the diaphragm

A deficiency in vitamin B12 can lead to anemia, which is a condition in which the body does not have enough healthy red blood cells to carry oxygen

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