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  • roesophageal reflux, symptoms relating to the genitourinary system, chronic fatigue syndrome, fibromyalgia, headache, backache, and psychiatric symptoms such as depression and anxiety.[21][24] About a third of men and women who have IBS also report sexual dysfunction typically in the form of a reduction in libido.[25] Some studies indicate up to 60% of people with IBS also have a psychological dis
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