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Enlarged circumvallate papillae on the back of the tongue during pregnancy can be attributed to hormonal changes, increased blood flow, and heightened sensitivity of the oral mucosa. These factors can lead to inflammation or swelling of the papillae, resulting in the appearance of bumps. Additionally, pregnancy can alter taste perception and saliva production, further contributing to changes in the oral environment. It's generally a benign condition, but if accompanied by pain or other symptoms, consulting a healthcare provider is advisable.

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