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[1] When lesions grow more than 5 mm beneath the peritoneal surface, they are classified as deep infiltrating endometriosis

Hedbacker K, Lu YH, Dallner O, Li Z, Fayzikhodjaeva G, Birsoy K, Han C, Yang C, Friedman JM

This can lead to a vitamin B12 deficiency even if you eat or take adequate amounts

And then you might also find a thickening of the intestines, which is something that your vet is obviously going to feel if they're palpating, if they're feeling your cat's tummy