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Other Risk Factors : People with chronic alcoholism, those taking certain medications (like metformin or proton pump inhibitors), or individuals with specific genetic mutations affecting B12 metabolism may also benefit from B12 injections

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Modulation of Inflammatory Pathways Persistent tendon pain is not always driven by inflammation alone, but inflammatory signaling can still play an important role, especially in the early stages of injury

If dietary sources are insufficient, however, a doctor may recommend supplementation through pills or injections, depending on the cause of the deficiency.