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The tongue coating on a healthy tongue is minimal and not obvious to the untrained eye. When the coat becomes thicker, it is a sign that the flora of the gut is imbalanced and that bad flora has overgrown.
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If the coating continues to thicken and becomes yellow, it will be associated with symptoms such as bloat, foul stool, sticky stool, bad breath, and yeast-like infections vaginally (vaginal health is influenced by gut health).