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Certain populations are at higher risk of vitamin B12 deficiency, including older adults (due to reduced gastric acid production), individuals following strict vegan or vegetarian diets, those with pernicious anaemia (an autoimmune condition affecting intrinsic factor production), patients who have undergone gastric or ileal surgery (including bariatric procedures), and those taking medications that affect gastric acid secretion (such as proton pump inhibitors or H2 antagonists) or intestinal absorption (including metformin)

Tendon collagen turns over slowly, the blood supply to tendons is inherently limited, and the mechanical demands on tendons mean they need to rebuild strength progressively rather than all at once

Xue, X.-C., Wu, Y.-J., Gao, M.-T., Li, W.-G., Zhao, N., Wang, Z.-L., Bao, C.-J., Yan, Z., & Zhang, Y.-Q

Yes, you can combine these two treatments