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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

Overview Epithalon (also called Epitalon) is a synthetic tetrapeptide nasal spray

Human data remain insufficient, and clinical trials are merely commencing to investigate the impact of varying doses on individuals

Because there is no cure, patients must balance symptom control against the burden of side effects