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A thorough history, including questions about whether your back pain is inflammatory or mechanical, and full musculoskeletal physical examination are important to help doctors differentiate between fibro and AxSpA

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REFERENCES Manifestations of fatigue that may occur when status or supplies of these micronutrients are not adequate. Consuming adequate intakes of vitamins and minerals contributes to maintenance of normal cognitive function and to enhanced well-being by decreasing perceived mental and physical fatigue and favoring positive mood