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How Our Consultation Process Works Our availability and product guidance may vary by clinician and care pathway Online Consultation Process At the Sanctuary Wellness Institute, our process starts with a consultation with a licensed clinician who will review your concerns, history, and goals

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Injecting steroids directly into the tendon can weaken and interfere with tendon healing and thus should be avoided

The mechanism is scientifically sound and consistently supported by animal data, but human efficacy and safety have not been established through clinical trials

High-dose oral supplementation may be another treatment option, because consuming 1,000 g (1 mg) per day of vitamin B 12 orally should result in the absorption of about 10 g/day (1% of dose) by passive diffusion