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This is because tissues like the Achilles tendon or rotator cuff are highly avascularthey get very little blood flow

Surgeries Associated with B12 Deficiency: Weight Loss Surgery: Procedures such as gastric bypass can reduce the stomachs capacity and alter the digestive tract, impacting B12 absorption

PMC 3229821

There are two possible explanations for this discrepancy
Always consult your provider before beginning any therapy program
