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However, even with treatment using erythropoiesis-stimulating agents (ESAs) and iron supplements, approximately half of the patients exhibit a hypo-responsive or suboptimal correction of anemia, suggesting the involvement of other significant mechanisms in the development and progression of renal anemia

Some patients may experience shifts in blood sugar, joint stiffness, or fatigue, which is why regular followup and dose adjustments are important

But it could be helpful to screen people for B12 deficiency in advance and give them B12 supplements to delay or prevent the onset of depression

The NHS provides access to pain management programmes that combine physical, psychological, and educational components, offering comprehensive support for people living with fibromyalgia

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This can involve maintaining proper levels of essential nutrients such as thiamine (Vitamin B1), which plays a vital role in energy metabolism and nervous system functioning