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As the fluid is injected it is seen to run within the subacromial bursa rather than dissoluting over a wider area (extra-bursal)

Fourth, the current work does not account for the heterogeneity of the studied populations, including differences in genetic background, comorbidities, lifestyle factors, and environmental exposures, which may significantly influence both pathophysiology and clinical presentation

Testing b12 levels during treatment provides the best way to identify any individual decline rather than assuming everyone needs supplementation

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