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Etiology Pathoanatomy more consistent with "tendinosis" than true inflammation Often associated with other primary shoulder pathology subacromial impingement stenosis of bicipital groove rotator cuff tears especially subscapularis pathology Anatomy originates off supraglenoid tubercle and superior labrum stabilized within bicipital groove by transverse humeral ligament With persistent inflammation, the intra-articular portion of the biceps tendon can become hypertrophied, leading to incarceration within the joint during movement, especially elevation Presentation Symptoms pain anterior shoulder pain may have pain radiating down the in the region of the biceps symptoms may be simillar in nature and location to rotator cuff or subacromial impingement pain tenderness with palpation over biceps groove worse with arm internally rotated 10 degrees pain elicited in bicipital groove when patient attempts to forward elevate shoulder against examiner resistance while elbow extended and forearm supinated

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Low B12 levels may present as: Brain fog Poor concentration Low stamina Numbness or tingling in hands or feet Lightheadedness Mood changes Some individuals are more prone to B12 deficiency, including those with digestive concerns, restrictive diets, or absorption issues
Then, I wqs stressed in a job and had few B vitamins to draw from
Injections of micronutrient B12 often cause only minor and transient adverse effects