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However, deficiencies are common, particularly in individuals with: Limited intake of B12-rich foods (vegetarians, vegans)

Diagnostic tools may include: Ultrasound: A dynamic and cost-effective way to detect tendon thickening or partial tears MRI: The gold standard for visualizing tendon degeneration, tears, or fluid buildup in the subacromial space Diagnostic injections: Local anesthetic injections can help confirm the source of pain Early and accurate diagnosis can guide non-surgical treatment plans and prevent progression to more severe shoulder damage

In a few patients with GERD (about 10 to 15 percent of patients), a change in the lining of the esophagus develops near the area where the esophagus and stomach join