There are people that have legitimate issues and then there is a large group to which it's all in their heads. It can't be stressed how much your physical well being is determined by your mind. A lot of things like upset stomach, skin conditions, etc can be related to stress, anxiety, depression, etc. The placebo effect figures in here as there is a relationship between how strongly a person expects to have results and whether or not the results occur. If you think a certain diet will make you feel better it may just have a positive affect. Bottom line is whatever works to make you feel more comfortable even if it means tricking yourself into thinking you have to eat a certain diet.
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