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Because it can be difficult to consume five daily servings of vegetables and fruits, few of us get all the nutrition we need from our diet

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The remaining 60 (9.4%) responses were classified as indifferent or concerned (this group was largely categorised by patients who were initially concerned but were no longer concerned)

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