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Zenodo (2021)

Both conditions involve degenerative changes to the tendons that attach forearm muscles to the bony prominences around the elbow joint

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

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Customers outside these regions might consider AEON from Perpetua.Life, which well discuss later in this guide

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