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She says she has been really tired and has noticed sores in

A 36-year-old woman is seen with complaints of abdominal bloating and gas. She says she has been really tired and has noticed sores in her mouth and tingling in her legs. She states her bloating and gas seem to get better when she is fasting.

Questions:

What is the diagnoses at this time?
What are the possible differential diagnoses at this time?
What test should you order and why?
How should this patient be managed?

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