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All AO and SA surveyors were required to take the updated surveyor training (see 42 CFR 488.1115(a))

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Any stomach disorders, or conditions like pernicious anemia where Intrinsic Factor is lacking, can prevent B12 absorption, as can intestinal inflammation such as Crohns disease if a damaged terminal ileum cannot take up vitamin B12

Timing Follow-up Marker ESR Why it matters Provides a slower-moving inflammation marker for chronic inflammatory symptoms

A calm look often comes from reduced inflammation, a stronger barrier, and better repair after small injuries
