Change, they say, comes from within.
This is most true around gastrointestinal distress,
where the change comes from deep within
and then is often expressed without
loudly.

I find the cause of this change from within
is sometime from some issue without,
like chili cheese hot dogs
or bean burritos
of possibly too much Moose Tracks ice cream.
Maybe Indian.
You get the idea, I’m sure.

The point is,
change can have many a cause
but some things can cause many changes.