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This is the action required to break the cycle of tendinosis

You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

J Pediatr Orthop

Joints requiring a large surface area of cartilage restoration are challenging for a number of reasons, including mechanical demands, graft fixation, and the large number of cells required for transplantation (in cell based therapies)