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Superior mesenteric artery syndrome (SMAS) is rare — and that’s part of the problem. It most often shows up in people with hypermobility or significant weight loss, where the normal fat cushion that protects the intestine disappears. Symptoms usually start 1–2 hours after eating, especially fibrous or fatty foods (think salads or gristly meats). The pain is often near the belly button, paired with nausea, early fullness, and food avoidance. Over time, this can lead to progressive weight loss, wh
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