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Vitamin B levels fall gradually when diet, stress, illness, or absorption issues prevent the body from getting enough of these essential nutrients. Early on the decline feels mild. A little fatigue, irritability
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Typical elements of monitoring include: Regular review with a gastroenterologist, often every 3 to 12 months depending on disease activity Periodic blood tests — full blood count, kidney and liver function, inflammation markers, vitamin and iron levels, and drug levels for some medications Faecal calprotectin checks to detect inflammation before symptoms return Endoscopy or imaging at intervals appropriate to your disease type and history Bone density assessment if you have had repeated courses of steroids Skin checks, particularly if you are on long-term immune-suppressing therapy, which can raise the risk of certain skin cancers Complications Complications can arise from the disease itself, from medications, or from surgery
