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Journal of Pharmacological Sciences , 65(4), 89-96

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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

Those diagnosed are often prescribed B12 injections as a first-line treatment, which helps normalize B12 levels quickly and effectively, often within days to weeks