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They may arrange blood tests to evaluate: Inflammatory markers (ESR, CRP) to detect active inflammation Rheumatoid factor and anti-CCP antibodies if inflammatory arthritis is suspected Full blood count to assess haematological response to B12 treatment Thyroid function tests , as thyroid disorders commonly coexist with B12 deficiency Note that serum B12 levels are not typically measured to assess treatment adequacy once replacement therapy has begun, as they may not reliably reflect tissue stores

2014 Nov 20;9(11):e113366

doi: 10.1021/acsnano.7b07384 107 Al SubehZYPoschelDBReddPSKlementJDMertingADYangDet al

Epithalon activates telomerase activity in somatic cells, which supports cellular longevity at the chromosomal level