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Common symptoms include: Shoulder pain with overhead activities or reaching behind the back Night pain, especially when lying on the affected side Weakness in lifting or rotating the arm Clicking or popping sensations during movement Stiffness or loss of range of motion If left untreated, tendinopathy can progress to partial or full-thickness tendon tears and contribute to chronic shoulder instability

This places clinicians in a challenging and unenviable position

By the time most people are diagnosed, their bodys long-term B12 reserves (which are stored in the liver) are completely empty

Second, the quality of the included studies varies, with some studies of higher quality than others