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complicated relationship between anxiety/depression (a/d) in ibd. bidirectional, may be tridirectional or perhaps multidirectional relation. gut bacteria-&gt;a/d-&gt; flare&gt;a/d-&gt;gut bacteria-&gt;flare&gt;a/d
#cccongress23 
Gastroenterologist/ IBD specialist. Author:Crohn's & Colitis for Dummies.Governor American College Gastroenterology, Chair ACG PR Committee. Founder @ibdclub